Surgical treatment of the Wolff–Parkinson–white syndrome—experiences in 120 patients
Identifieur interne : 000407 ( Main/Corpus ); précédent : 000406; suivant : 000408Surgical treatment of the Wolff–Parkinson–white syndrome—experiences in 120 patients
Auteurs : D. Lowes ; G. Frank ; J. Klein ; M. ManzSource :
- European Heart Journal [ 0195-668X ] ; 1993-09.
Abstract
Since January 1984, 120 patients (78 male, 42 female; aged 3 to 66 years) with the Wolff–Parkinson–White (WPW) syndrome have been operated upon. The indication for surgery was documented recurrent, paroxysmal tachycardia refractory to medical treatment in 118 cases. Twenty-two patients (18%) had additional heart disease. One hundred and twenty patients had a total of 140 accessory pathways (AP). AP were localized at the left free wall in 63% (87 AP), at the right free wall in 24% (35 AP), and septally in 13% (18 AP). Sixteen patients (13%) had multiple AP (12 patients had two and four patients had three AP), 124 A P were known pre-operatively (88%), 133 were localized intra-operatively (94%) and seven were diagnosed during re-operation (6%). Surgery in 28 patients with left lateral AP was via the epicardial approach and the endocardial approach in 59. Of 15 patients with right lateral AP, the surgical approach was epicardial in two and transmural in 13. A cryosurgery was also used in 117 patients. Fifteen patients suffered recurrences, in 12 of whom repeat surgery was required. One hundred and thirty-six AP (97%) were dissected successfully, of which 14 (10%) were ablated during re-operation. All patients survived the initial operation, but two patients died after re-operation. One patient is pacer-dependent due to persisting postoperative atrioventricular (AV) block. We conclude that surgical dissection of accessory pathways can be offered as an alternative to non-surgical treatment modes, at a low risk and with a high success rate.
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DOI: 10.1093/eurheartj/14.suppl_E.99
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Lowes</name><affiliation><mods:affiliation>Klinik für Herz-, Thorax- und Gefäβchirurgie, Städtisches Klinikum Braunschweig, Germany, Germany, Germany</mods:affiliation></affiliation></author><author><name sortKey="Frank, G" sort="Frank, G" uniqKey="Frank G" first="G." last="Frank">G. Frank</name><affiliation><mods:affiliation>Klinik für Herz-, Thorax- und Gefäβchirurgie, Städtisches Klinikum Braunschweig, Germany, Germany, Germany</mods:affiliation></affiliation></author><author><name sortKey="Klein, J" sort="Klein, J" uniqKey="Klein J" first="J." last="Klein">J. Klein</name><affiliation><mods:affiliation></mods:affiliation></affiliation></author><author><name sortKey="Manz, M" sort="Manz, M" uniqKey="Manz M" first="M." last="Manz">M. Manz</name><affiliation><mods:affiliation></mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">European Heart Journal</title><idno type="ISSN">0195-668X</idno><idno type="eISSN">1522-9645</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="1993-09">1993-09</date><biblScope unit="volume">14</biblScope><biblScope unit="supplement">suppl_E</biblScope><biblScope unit="page" from="99">99</biblScope><biblScope unit="page" to="102">102</biblScope></imprint><idno type="ISSN">0195-668X</idno></series><idno type="istex">40C0F4107C2BD72F724E1B6E1A50EC838D20FC01</idno><idno type="DOI">10.1093/eurheartj/14.suppl_E.99</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0195-668X</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Since January 1984, 120 patients (78 male, 42 female; aged 3 to 66 years) with the Wolff–Parkinson–White (WPW) syndrome have been operated upon. The indication for surgery was documented recurrent, paroxysmal tachycardia refractory to medical treatment in 118 cases. Twenty-two patients (18%) had additional heart disease. One hundred and twenty patients had a total of 140 accessory pathways (AP). AP were localized at the left free wall in 63% (87 AP), at the right free wall in 24% (35 AP), and septally in 13% (18 AP). Sixteen patients (13%) had multiple AP (12 patients had two and four patients had three AP), 124 A P were known pre-operatively (88%), 133 were localized intra-operatively (94%) and seven were diagnosed during re-operation (6%). Surgery in 28 patients with left lateral AP was via the epicardial approach and the endocardial approach in 59. Of 15 patients with right lateral AP, the surgical approach was epicardial in two and transmural in 13. A cryosurgery was also used in 117 patients. Fifteen patients suffered recurrences, in 12 of whom repeat surgery was required. One hundred and thirty-six AP (97%) were dissected successfully, of which 14 (10%) were ablated during re-operation. All patients survived the initial operation, but two patients died after re-operation. One patient is pacer-dependent due to persisting postoperative atrioventricular (AV) block. We conclude that surgical dissection of accessory pathways can be offered as an alternative to non-surgical treatment modes, at a low risk and with a high success rate.</div></front></TEI><istex><corpusName>oup</corpusName><author><json:item><name>D. Lowes</name><affiliations><json:string>Klinik für Herz-, Thorax- und Gefäβchirurgie, Städtisches Klinikum Braunschweig, Germany, Germany, Germany</json:string><json:string>Correspondence: Dr Doris Lowes. Klinik für Herz-, Thorax- und Gefäβchirurgie, Städtisches Klinikum Braunschweig, Salzdahlumer Str. 90. W-3300 Braunschweig, Germany.</json:string></affiliations></json:item><json:item><name>G. Frank</name><affiliations><json:string>Klinik für Herz-, Thorax- und Gefäβchirurgie, Städtisches Klinikum Braunschweig, Germany, Germany, Germany</json:string></affiliations></json:item><json:item><name>J. Klein</name><affiliations><json:string>Abteilung Kardiologie, Medizinische Hochschule Hannover Germany</json:string></affiliations></json:item><json:item><name>M. 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One hundred and twenty patients had a total of 140 accessory pathways (AP). AP were localized at the left free wall in 63% (87 AP), at the right free wall in 24% (35 AP), and septally in 13% (18 AP). Sixteen patients (13%) had multiple AP (12 patients had two and four patients had three AP), 124 A P were known pre-operatively (88%), 133 were localized intra-operatively (94%) and seven were diagnosed during re-operation (6%). Surgery in 28 patients with left lateral AP was via the epicardial approach and the endocardial approach in 59. Of 15 patients with right lateral AP, the surgical approach was epicardial in two and transmural in 13. A cryosurgery was also used in 117 patients. Fifteen patients suffered recurrences, in 12 of whom repeat surgery was required. One hundred and thirty-six AP (97%) were dissected successfully, of which 14 (10%) were ablated during re-operation. All patients survived the initial operation, but two patients died after re-operation. One patient is pacer-dependent due to persisting postoperative atrioventricular (AV) block. 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The indication for surgery was documented recurrent, paroxysmal tachycardia refractory to medical treatment in 118 cases. Twenty-two patients (18%) had additional heart disease. One hundred and twenty patients had a total of 140 accessory pathways (AP). AP were localized at the left free wall in 63% (87 AP), at the right free wall in 24% (35 AP), and septally in 13% (18 AP). Sixteen patients (13%) had multiple AP (12 patients had two and four patients had three AP), 124 A P were known pre-operatively (88%), 133 were localized intra-operatively (94%) and seven were diagnosed during re-operation (6%). Surgery in 28 patients with left lateral AP was via the epicardial approach and the endocardial approach in 59. Of 15 patients with right lateral AP, the surgical approach was epicardial in two and transmural in 13. A cryosurgery was also used in 117 patients. Fifteen patients suffered recurrences, in 12 of whom repeat surgery was required. One hundred and thirty-six AP (97%) were dissected successfully, of which 14 (10%) were ablated during re-operation. All patients survived the initial operation, but two patients died after re-operation. One patient is pacer-dependent due to persisting postoperative atrioventricular (AV) block. 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Klinik für Herz-, Thorax- und Gefäβchirurgie, Städtisches Klinikum Braunschweig, Salzdahlumer Str. 90. W-3300 Braunschweig, Germany.</corresp></author-notes><pub-date pub-type="ppub"><month>9</month><year>1993</year></pub-date><volume>14</volume><issue>suppl_E</issue><fpage>99</fpage><lpage>102</lpage><copyright-statement>© 1993 The European Society of Cardiology</copyright-statement><copyright-year>1993</copyright-year><abstract><p>Since January 1984, 120 patients (78 male, 42 female; aged 3 to 66 years) with the Wolff–Parkinson–White (WPW) syndrome have been operated upon. The indication for surgery was documented recurrent, paroxysmal tachycardia refractory to medical treatment in 118 cases. Twenty-two patients (18%) had additional heart disease. One hundred and twenty patients had a total of 140 accessory pathways (AP). AP were localized at the left free wall in 63% (87 AP), at the right free wall in 24% (35 AP), and septally in 13% (18 AP). Sixteen patients (13%) had multiple AP (12 patients had two and four patients had three AP), 124 A P were known pre-operatively (88%), 133 were localized intra-operatively (94%) and seven were diagnosed during re-operation (6%). Surgery in 28 patients with left lateral AP was via the epicardial approach and the endocardial approach in 59. Of 15 patients with right lateral AP, the surgical approach was epicardial in two and transmural in 13. A cryosurgery was also used in 117 patients. Fifteen patients suffered recurrences, in 12 of whom repeat surgery was required. One hundred and thirty-six AP (97%) were dissected successfully, of which 14 (10%) were ablated during re-operation. All patients survived the initial operation, but two patients died after re-operation. One patient is pacer-dependent due to persisting postoperative atrioventricular (AV) block. We conclude that surgical dissection of accessory pathways can be offered as an alternative to non-surgical treatment modes, at a low risk and with a high success rate.</p></abstract><kwd-group><kwd>Wolff–Parkinson–White syndrome</kwd><kwd>supraventricular tachycardia</kwd><kwd>antiarrhythmic surgery</kwd></kwd-group></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Surgical treatment of the Wolff–Parkinson–white syndrome—experiences in 120 patients</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Surgical treatment of the Wolff–Parkinson–white syndrome—experiences in 120 patients</title></titleInfo><name type="personal"><namePart type="given">D.</namePart><namePart type="family">Lowes</namePart><affiliation>Klinik für Herz-, Thorax- und Gefäβchirurgie, Städtisches Klinikum Braunschweig, Germany, Germany, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">G.</namePart><namePart type="family">Frank</namePart><affiliation>Klinik für Herz-, Thorax- und Gefäβchirurgie, Städtisches Klinikum Braunschweig, Germany, Germany, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J.</namePart><namePart type="family">Klein</namePart><affiliation></affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M.</namePart><namePart type="family">Manz</namePart><affiliation></affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="research-article"></genre><subject><topic>Articles</topic></subject><originInfo><publisher>Oxford University Press</publisher><dateIssued encoding="w3cdtf">1993-09</dateIssued><copyrightDate encoding="w3cdtf">1993</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract>Since January 1984, 120 patients (78 male, 42 female; aged 3 to 66 years) with the Wolff–Parkinson–White (WPW) syndrome have been operated upon. The indication for surgery was documented recurrent, paroxysmal tachycardia refractory to medical treatment in 118 cases. Twenty-two patients (18%) had additional heart disease. One hundred and twenty patients had a total of 140 accessory pathways (AP). AP were localized at the left free wall in 63% (87 AP), at the right free wall in 24% (35 AP), and septally in 13% (18 AP). Sixteen patients (13%) had multiple AP (12 patients had two and four patients had three AP), 124 A P were known pre-operatively (88%), 133 were localized intra-operatively (94%) and seven were diagnosed during re-operation (6%). Surgery in 28 patients with left lateral AP was via the epicardial approach and the endocardial approach in 59. Of 15 patients with right lateral AP, the surgical approach was epicardial in two and transmural in 13. A cryosurgery was also used in 117 patients. Fifteen patients suffered recurrences, in 12 of whom repeat surgery was required. One hundred and thirty-six AP (97%) were dissected successfully, of which 14 (10%) were ablated during re-operation. All patients survived the initial operation, but two patients died after re-operation. One patient is pacer-dependent due to persisting postoperative atrioventricular (AV) block. We conclude that surgical dissection of accessory pathways can be offered as an alternative to non-surgical treatment modes, at a low risk and with a high success rate.</abstract><note type="author-notes">Correspondence: Dr Doris Lowes. Klinik für Herz-, Thorax- und Gefäβchirurgie, Städtisches Klinikum Braunschweig, Salzdahlumer Str. 90. W-3300 Braunschweig, Germany.</note><subject><genre>Keywords</genre><topic>Wolff–Parkinson–White syndrome</topic><topic>supraventricular tachycardia</topic><topic>antiarrhythmic surgery</topic></subject><relatedItem type="host"><titleInfo><title>European Heart Journal</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">0195-668X</identifier><identifier type="eISSN">1522-9645</identifier><identifier type="PublisherID">eurheartj</identifier><identifier type="PublisherID-hwp">ehj</identifier><part><date>1993</date><detail type="volume"><caption>vol.</caption><number>14</number></detail><detail type="supplement"><number>suppl_E</number></detail><extent unit="pages"><start>99</start><end>102</end></extent></part></relatedItem><identifier type="istex">40C0F4107C2BD72F724E1B6E1A50EC838D20FC01</identifier><identifier type="DOI">10.1093/eurheartj/14.suppl_E.99</identifier><accessCondition type="use and reproduction" contentType="copyright">© 1993 The European Society of Cardiology</accessCondition><recordInfo><recordContentSource>OUP</recordContentSource></recordInfo></mods></metadata><annexes><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/40C0F4107C2BD72F724E1B6E1A50EC838D20FC01/annexes/pdf</uri></json:item></annexes><enrichments><istex:catWosTEI uri="https://api.istex.fr/document/40C0F4107C2BD72F724E1B6E1A50EC838D20FC01/enrichments/catWos"><teiHeader><profileDesc><textClass><classCode scheme="WOS">CARDIAC & CARDIOVASCULAR SYSTEMS</classCode></textClass></profileDesc></teiHeader></istex:catWosTEI></enrichments><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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