Current treatment for Wolff-Parkinson-White syndrome: Results and surgical implications
1991; Elsevier BV; Volume: 52; Issue: 3 Linguagem: Inglês
10.1016/0003-4975(91)90906-7
ISSN1552-6259
AutoresSteven F. Bolling, Fred Morady, Hugh Calkins, Alan H. Kadish, Michael de Buitleir, Jonathan Langberg, Macdonald Dick, Flavian M. Lupinetti, Edward L. Bove,
Tópico(s)Atrial Fibrillation Management and Outcomes
Resumopatients with Wolff-Parkinson-White syndrome underwent operation for ablation of aberrant conduction pathways.There were 85 male and 38 female patients ranging in age from 11 months to 68 years.Associated anomalies included Ebstein's anomaly, sudden death syndrome, coronary artery disease, cardiomyopathy, abdominal aortic aneurysm, neurofibromatosis, other arrhythmias, or other complex congenital heart disease.Forty-one patients had multiple accessory pathways.Operative results showed a 7% initial failure rate, which dropped to 3% after reoperation.One patient had undergone previous operation for Wolff-Parkinson-White syndrome at another institution.Procedures performed concomitantly included mitral or tricuspid valve repair or replacement (6), right ventricular conduit replacement, subaortic resection, Fontan repair, corrected transposition repair, coronary artery bypass, and placement of an automatic internal cardioverter defibrillator.There was no operative mortality.Late follow-up is 27 -+ 16 months, and complications he Wolff-Parkinson-White (WPW) syndrome, orig-T inally described in 1930 [l], may account for up to 20% of all cases of paroxysmal supraventricular tachycardia, and may have a prevalence as high as 1 in 500 patients in the general population [2].Although patients with WPW syndrome may be asymptomatic, many suffer serious or fatal consequences.The first successful surgical division of an accessory atrioventricular (AV) pathway for the treatment of WPW syndrome was performed in 1968 [3].By 1981, the operative procedure for the treatment of WPW syndrome was fairly standardized, and the results in the first 200 patients demonstrated an overall success rate of 86%, including a reoperation rate of approximately 15% [4].The vast majority of these patients became totally asymptomatic and enjoyed a normal life.Since that initial surgical series for the correction of WPW syndrome was reported, this procedure has been applied to an increasing number of patients, with hundreds of operations for WPW syndrome being performed
Referência(s)