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An Improved Operation for the Definitive Treatment of the Wolff-Parkinson-White Syndrome

1974; Elsevier BV; Volume: 17; Issue: 2 Linguagem: Inglês

10.1016/s0003-4975(10)65617-2

1552-6259

Will C. Sealy, Andrew Wallace, Kenneth P. Ramming, John J. Gallagher, Robert H. Svenson,

Atrial Fibrillation Management and Outcomes

Abstract As our experience increased with the definitive surgical treatment of patients with Wolff-Parkinson-White syndrome (WPW), an intraatrial method was devised that permits separation of the atria from the ventricles at any point along the annulus fibrosus. This technique depends on separating the atrium from the annulus fibrosus, using the fat about the coronary vessels and epicardial reflections from the aorta to the right atrial wall as the plane of dissection. This method allows easy approach to the septal area on the right. Successful results with 2 patients, one with Type A (left-sided) and the other with Type B (right-sided) WPW are recorded to illustrate the use of this method.