Surgery for supraventricular tachyarrhythmias.
Identifieur interne : 004670 ( Main/Exploration ); précédent : 004669; suivant : 004671Surgery for supraventricular tachyarrhythmias.
Auteurs : G M Guiraudon [Canada] ; J. Klein ; R. YeeSource :
- Schweizerische medizinische Wochenschrift [ 0036-7672 ] ; 1991.
English descriptors
- KwdEn :
- Atrial Fibrillation (surgery), Atrial Flutter (surgery), Electrocoagulation (methods), Heart Conduction System (surgery), Humans, Pre-Excitation, Mahaim-Type (surgery), Tachycardia, Atrioventricular Nodal Reentry (surgery), Tachycardia, Supraventricular (surgery), Wolff-Parkinson-White Syndrome (surgery).
- MESH :
Abstract
Since the first successful surgical intervention for Wolff-Parkinson-White syndrome by W. C. Sealy, a surgical electrophysiological intervention has been developed for every single supraventricular arrhythmia. The surgical rationale is based on the site of the mechanism of the arrhythmia and associated pathology which characterizes the "arrhythmogenic substrate". Wolff-Parkinson-White syndrome is a congenital heart disease characterized by an accessory atrioventricular connection distinct from the AV node-His bundle system. It is associated with AV reentrant tachycardia and/or atrial fibrillation with fast ventricular responses via the accessory pathway. The current surgical management is ablation of the accessory pathway using either an endocardial dissection or epicardial approach. Surgical ablation is associated with high efficacy and low morbidity. Epicardial dissection of the accessory pathway on the beating heart has helped to localize variant accessory pathways associated with Coumel's tachycardia or Mahaim's fiber electrophysiological entity. AV nodal reentrant tachycardia can be cured using direct AV nodal dissection (or perinodal cryoablation). Atrial flutter can be interrupted by cryoablation of the arrhythmogenic substrate located in the coronary sinus orifice of the region modifying atrial inputs. Chronotropic atrial function abolished by chronic or paroxysmal idiopathic atrial fibrillation can be restored using the corridor operation (sinus node-AV node insulation). Surgery is an alternative in patients with resistant atrial tachycardias. Currently surgery is indicated only after other non-invasive EP interventions have been either attempted or rejected.
PubMed: 1763306
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 001B00
- to stream PubMed, to step Curation: 001B00
- to stream PubMed, to step Checkpoint: 001B00
- to stream Ncbi, to step Merge: 000791
- to stream Ncbi, to step Curation: 000791
- to stream Ncbi, to step Checkpoint: 000791
- to stream Main, to step Merge: 004F27
- to stream Main, to step Curation: 004670
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Surgery for supraventricular tachyarrhythmias.</title><author><name sortKey="Guiraudon, G M" sort="Guiraudon, G M" uniqKey="Guiraudon G" first="G M" last="Guiraudon">G M Guiraudon</name><affiliation wicri:level="1"><nlm:affiliation>University Hospital, London, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>University Hospital, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Klein, J" sort="Klein, J" uniqKey="Klein J" first="J" last="Klein">J. Klein</name></author><author><name sortKey="Yee, R" sort="Yee, R" uniqKey="Yee R" first="R" last="Yee">R. Yee</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1991">1991</date><idno type="RBID">pubmed:1763306</idno><idno type="pmid">1763306</idno><idno type="wicri:Area/PubMed/Corpus">001B00</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001B00</idno><idno type="wicri:Area/PubMed/Curation">001B00</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001B00</idno><idno type="wicri:Area/PubMed/Checkpoint">001B00</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001B00</idno><idno type="wicri:Area/Ncbi/Merge">000791</idno><idno type="wicri:Area/Ncbi/Curation">000791</idno><idno type="wicri:Area/Ncbi/Checkpoint">000791</idno><idno type="wicri:doubleKey">0036-7672:1991:Guiraudon G:surgery:for:supraventricular</idno><idno type="wicri:Area/Main/Merge">004F27</idno><idno type="wicri:Area/Main/Curation">004670</idno><idno type="wicri:Area/Main/Exploration">004670</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Surgery for supraventricular tachyarrhythmias.</title><author><name sortKey="Guiraudon, G M" sort="Guiraudon, G M" uniqKey="Guiraudon G" first="G M" last="Guiraudon">G M Guiraudon</name><affiliation wicri:level="1"><nlm:affiliation>University Hospital, London, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>University Hospital, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Klein, J" sort="Klein, J" uniqKey="Klein J" first="J" last="Klein">J. Klein</name></author><author><name sortKey="Yee, R" sort="Yee, R" uniqKey="Yee R" first="R" last="Yee">R. Yee</name></author></analytic><series><title level="j">Schweizerische medizinische Wochenschrift</title><idno type="ISSN">0036-7672</idno><imprint><date when="1991" type="published">1991</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Atrial Fibrillation (surgery)</term><term>Atrial Flutter (surgery)</term><term>Electrocoagulation (methods)</term><term>Heart Conduction System (surgery)</term><term>Humans</term><term>Pre-Excitation, Mahaim-Type (surgery)</term><term>Tachycardia, Atrioventricular Nodal Reentry (surgery)</term><term>Tachycardia, Supraventricular (surgery)</term><term>Wolff-Parkinson-White Syndrome (surgery)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electrocoagulation</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Atrial Fibrillation</term><term>Atrial Flutter</term><term>Heart Conduction System</term><term>Pre-Excitation, Mahaim-Type</term><term>Tachycardia, Atrioventricular Nodal Reentry</term><term>Tachycardia, Supraventricular</term><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Since the first successful surgical intervention for Wolff-Parkinson-White syndrome by W. C. Sealy, a surgical electrophysiological intervention has been developed for every single supraventricular arrhythmia. The surgical rationale is based on the site of the mechanism of the arrhythmia and associated pathology which characterizes the "arrhythmogenic substrate". Wolff-Parkinson-White syndrome is a congenital heart disease characterized by an accessory atrioventricular connection distinct from the AV node-His bundle system. It is associated with AV reentrant tachycardia and/or atrial fibrillation with fast ventricular responses via the accessory pathway. The current surgical management is ablation of the accessory pathway using either an endocardial dissection or epicardial approach. Surgical ablation is associated with high efficacy and low morbidity. Epicardial dissection of the accessory pathway on the beating heart has helped to localize variant accessory pathways associated with Coumel's tachycardia or Mahaim's fiber electrophysiological entity. AV nodal reentrant tachycardia can be cured using direct AV nodal dissection (or perinodal cryoablation). Atrial flutter can be interrupted by cryoablation of the arrhythmogenic substrate located in the coronary sinus orifice of the region modifying atrial inputs. Chronotropic atrial function abolished by chronic or paroxysmal idiopathic atrial fibrillation can be restored using the corridor operation (sinus node-AV node insulation). Surgery is an alternative in patients with resistant atrial tachycardias. Currently surgery is indicated only after other non-invasive EP interventions have been either attempted or rejected.</div></front></TEI><affiliations><list><country><li>Canada</li></country></list><tree><noCountry><name sortKey="Klein, J" sort="Klein, J" uniqKey="Klein J" first="J" last="Klein">J. Klein</name><name sortKey="Yee, R" sort="Yee, R" uniqKey="Yee R" first="R" last="Yee">R. Yee</name></noCountry><country name="Canada"><noRegion><name sortKey="Guiraudon, G M" sort="Guiraudon, G M" uniqKey="Guiraudon G" first="G M" last="Guiraudon">G M Guiraudon</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Canada/explor/ParkinsonCanadaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004670 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 004670 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Canada
|area= ParkinsonCanadaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:1763306
|texte= Surgery for supraventricular tachyarrhythmias.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:1763306" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a ParkinsonCanadaV1
| This area was generated with Dilib version V0.6.29. |  |