Surgical treatment of supraventricular tachycardia in infants and children
Identifieur interne : 001072 ( Main/Corpus ); précédent : 001071; suivant : 001073Surgical treatment of supraventricular tachycardia in infants and children
Auteurs : Paul C. Gillette ; Arthur Garson ; John D. Kugler ; Denton A. Cooley ; Alex Zinner ; Dan G. McnamaraSource :
- The American Journal of Cardiology [ 0002-9149 ] ; 1980.
Abstract
The technique, indications and results of surgical division of accessory atrioventricular connections in 10 infants and children with drug-resistant Supraventricular tachycardia are described. The patients ranged in age from 6 months to 15 years. Four patients had associated congenital heart disease. Division of accessory connections were performed on free wall pathways in nine patients (seven right atrial, two left atrial) and on a septal pathway in one patient. Four patients had both anterograde and retrograde conduction over the accessory connection (manifest Wolff-Parkinson-White conduction) whereas six had only retrograde conduction (concealed Wolff-Parkinson-White conduction). The manifest Wolff-Parkinson-White conduction was abolished by surgical division in all four patients. In 8 of the 10 patients the procedure stopped the attacks of paroxysmal supraventricular tachycardia for follow-up periods ranging from 9 months to 3 12 years; no patient receives medication to date.
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DOI: 10.1016/0002-9149(80)90071-5
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Gillette</name><affiliation><mods:affiliation>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</mods:affiliation></affiliation></author><author><name sortKey="Garson, Arthur" sort="Garson, Arthur" uniqKey="Garson A" first="Arthur" last="Garson">Arthur Garson</name><affiliation><mods:affiliation>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</mods:affiliation></affiliation></author><author><name sortKey="Kugler, John D" sort="Kugler, John D" uniqKey="Kugler J" first="John D." last="Kugler">John D. 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Mcnamara</name><affiliation><mods:affiliation>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">The American Journal of Cardiology</title><title level="j" type="abbrev">AJC</title><idno type="ISSN">0002-9149</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1980">1980</date><biblScope unit="volume">46</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="281">281</biblScope><biblScope unit="page" to="284">284</biblScope></imprint><idno type="ISSN">0002-9149</idno></series><idno type="istex">5126C3E71CD22ABAFAEC26213963B165844B6FD4</idno><idno type="DOI">10.1016/0002-9149(80)90071-5</idno><idno type="PII">0002-9149(80)90071-5</idno><idno type="ArticleID">80900715</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0002-9149</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The technique, indications and results of surgical division of accessory atrioventricular connections in 10 infants and children with drug-resistant Supraventricular tachycardia are described. The patients ranged in age from 6 months to 15 years. Four patients had associated congenital heart disease. Division of accessory connections were performed on free wall pathways in nine patients (seven right atrial, two left atrial) and on a septal pathway in one patient. Four patients had both anterograde and retrograde conduction over the accessory connection (manifest Wolff-Parkinson-White conduction) whereas six had only retrograde conduction (concealed Wolff-Parkinson-White conduction). The manifest Wolff-Parkinson-White conduction was abolished by surgical division in all four patients. In 8 of the 10 patients the procedure stopped the attacks of paroxysmal supraventricular tachycardia for follow-up periods ranging from 9 months to 3 12 years; no patient receives medication to date.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>Paul C. Gillette MD, FACC</name><affiliations><json:string>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</json:string></affiliations></json:item><json:item><name>Arthur Garson MD</name><affiliations><json:string>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</json:string></affiliations></json:item><json:item><name>John D. Kugler MD</name><affiliations><json:string>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</json:string></affiliations></json:item><json:item><name>Denton A. 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Four patients had both anterograde and retrograde conduction over the accessory connection (manifest Wolff-Parkinson-White conduction) whereas six had only retrograde conduction (concealed Wolff-Parkinson-White conduction). The manifest Wolff-Parkinson-White conduction was abolished by surgical division in all four patients. 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Gillette MD, Section of Pediatric Cardiology, Texas Children's Hospital, 6621 Fannin, Houston, Texas 77030.</note><note type="biography">This work was supported in part by U.S. Public Health Service Grant HL-07190, General Clinical Research Branch Grant RR-00188, and Research Career Development Award HL-00571 from the National Institutes of Health, Bethesda, Maryland; and by grants from The J. S. Abercrombie Foundation, and Paula and Alexander Adams, Houston, Texas.</note><affiliation>Address for reprints: Paul C. Gillette MD, Section of Pediatric Cardiology, Texas Children's Hospital, 6621 Fannin, Houston, Texas 77030.</affiliation><affiliation>This work was supported in part by U.S. Public Health Service Grant HL-07190, General Clinical Research Branch Grant RR-00188, and Research Career Development Award HL-00571 from the National Institutes of Health, Bethesda, Maryland; and by grants from The J. S. Abercrombie Foundation, and Paula and Alexander Adams, Houston, Texas.</affiliation><affiliation>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</affiliation></author><author><persName><forename type="first">Arthur</forename><surname>Garson</surname></persName><roleName type="degree">MD</roleName><affiliation>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</affiliation></author><author><persName><forename type="first">John D.</forename><surname>Kugler</surname></persName><roleName type="degree">MD</roleName><affiliation>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</affiliation></author><author><persName><forename type="first">Denton A.</forename><surname>Cooley</surname></persName><roleName type="degree">MD, FACC</roleName><affiliation>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</affiliation></author><author><persName><forename type="first">Alex</forename><surname>Zinner</surname></persName><affiliation>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</affiliation></author><author><persName><forename type="first">Dan G.</forename><surname>McNamara</surname></persName><roleName type="degree">MD, FACC</roleName><affiliation>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</affiliation></author></analytic><monogr><title level="j">The American Journal of Cardiology</title><title level="j" type="abbrev">AJC</title><idno type="pISSN">0002-9149</idno><idno type="PII">S0002-9149(00)X0441-9</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1980"></date><biblScope unit="volume">46</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="281">281</biblScope><biblScope unit="page" to="284">284</biblScope></imprint></monogr><idno type="istex">5126C3E71CD22ABAFAEC26213963B165844B6FD4</idno><idno type="DOI">10.1016/0002-9149(80)90071-5</idno><idno type="PII">0002-9149(80)90071-5</idno><idno type="ArticleID">80900715</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1979</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>The technique, indications and results of surgical division of accessory atrioventricular connections in 10 infants and children with drug-resistant Supraventricular tachycardia are described. The patients ranged in age from 6 months to 15 years. Four patients had associated congenital heart disease. Division of accessory connections were performed on free wall pathways in nine patients (seven right atrial, two left atrial) and on a septal pathway in one patient. Four patients had both anterograde and retrograde conduction over the accessory connection (manifest Wolff-Parkinson-White conduction) whereas six had only retrograde conduction (concealed Wolff-Parkinson-White conduction). The manifest Wolff-Parkinson-White conduction was abolished by surgical division in all four patients. In 8 of the 10 patients the procedure stopped the attacks of paroxysmal supraventricular tachycardia for follow-up periods ranging from 9 months to 3 12 years; no patient receives medication to date.</p></abstract></profileDesc><revisionDesc><change when="1980-01-23">Registration</change><change when="1980-01-21">Modified</change><change when="1980">Published</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: tail"><istex:xmlDeclaration>version="1.0" encoding="UTF-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="fla" xml:lang="en"><item-info><jid>AJC</jid><aid>80900715</aid><ce:pii>0002-9149(80)90071-5</ce:pii><ce:doi>10.1016/0002-9149(80)90071-5</ce:doi><ce:copyright type="unknown" year="1979"></ce:copyright></item-info><head><ce:dochead><ce:textfn>Pediatric cardiology</ce:textfn></ce:dochead><ce:title>Surgical treatment of supraventricular tachycardia in infants and children</ce:title><ce:author-group><ce:author><ce:given-name>Paul C.</ce:given-name><ce:surname>Gillette</ce:surname><ce:degrees>MD, FACC</ce:degrees><ce:cross-ref refid="COR1"><ce:sup loc="post">∗</ce:sup></ce:cross-ref><ce:cross-ref refid="FN1"><ce:sup loc="post">∗</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Arthur</ce:given-name><ce:surname>Garson</ce:surname><ce:degrees>MD</ce:degrees></ce:author><ce:author><ce:given-name>John D.</ce:given-name><ce:surname>Kugler</ce:surname><ce:degrees>MD</ce:degrees></ce:author><ce:author><ce:given-name>Denton A.</ce:given-name><ce:surname>Cooley</ce:surname><ce:degrees>MD, FACC</ce:degrees></ce:author><ce:author><ce:given-name>Alex</ce:given-name><ce:surname>Zinner</ce:surname></ce:author><ce:author><ce:given-name>Dan G.</ce:given-name><ce:surname>McNamara</ce:surname><ce:degrees>MD, FACC</ce:degrees></ce:author><ce:affiliation><ce:textfn>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</ce:textfn></ce:affiliation><ce:correspondence id="COR1"><ce:label>∗</ce:label><ce:text>Address for reprints: Paul C. Gillette MD, Section of Pediatric Cardiology, Texas Children's Hospital, 6621 Fannin, Houston, Texas 77030.</ce:text></ce:correspondence><ce:footnote id="FN1"><ce:label>∗</ce:label><ce:note-para>This work was supported in part by U.S. Public Health Service Grant HL-07190, General Clinical Research Branch Grant RR-00188, and Research Career Development Award HL-00571 from the National Institutes of Health, Bethesda, Maryland; and by grants from The J. S. Abercrombie Foundation, and Paula and Alexander Adams, Houston, Texas.</ce:note-para></ce:footnote></ce:author-group><ce:date-received day="14" month="11" year="1979"></ce:date-received><ce:date-revised day="21" month="1" year="1980"></ce:date-revised><ce:date-accepted day="23" month="1" year="1980"></ce:date-accepted><ce:abstract class="author"><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para view="all" id="simple-para.0010">The technique, indications and results of surgical division of accessory atrioventricular connections in 10 infants and children with drug-resistant Supraventricular tachycardia are described. The patients ranged in age from 6 months to 15 years. Four patients had associated congenital heart disease. Division of accessory connections were performed on free wall pathways in nine patients (seven right atrial, two left atrial) and on a septal pathway in one patient. Four patients had both anterograde and retrograde conduction over the accessory connection (manifest Wolff-Parkinson-White conduction) whereas six had only retrograde conduction (concealed Wolff-Parkinson-White conduction). The manifest Wolff-Parkinson-White conduction was abolished by surgical division in all four patients. In 8 of the 10 patients the procedure stopped the attacks of paroxysmal supraventricular tachycardia for follow-up periods ranging from 9 months to 3 <math altimg="si1.gif"><fr shape="sol" align="c" style="s"><nu>1</nu><de>2</de></fr></math> years; no patient receives medication to date.</ce:simple-para></ce:abstract-sec></ce:abstract></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Surgical treatment of supraventricular tachycardia in infants and children</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Surgical treatment of supraventricular tachycardia in infants and children</title></titleInfo><name type="personal"><namePart type="given">Paul C.</namePart><namePart type="family">Gillette</namePart><namePart type="termsOfAddress">MD, FACC</namePart><affiliation>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</affiliation><description>Address for reprints: Paul C. Gillette MD, Section of Pediatric Cardiology, Texas Children's Hospital, 6621 Fannin, Houston, Texas 77030.</description><description>This work was supported in part by U.S. Public Health Service Grant HL-07190, General Clinical Research Branch Grant RR-00188, and Research Career Development Award HL-00571 from the National Institutes of Health, Bethesda, Maryland; and by grants from The J. S. Abercrombie Foundation, and Paula and Alexander Adams, Houston, Texas.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Arthur</namePart><namePart type="family">Garson</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">John D.</namePart><namePart type="family">Kugler</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Denton A.</namePart><namePart type="family">Cooley</namePart><namePart type="termsOfAddress">MD, FACC</namePart><affiliation>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Alex</namePart><namePart type="family">Zinner</namePart><affiliation>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Dan G.</namePart><namePart type="family">McNamara</namePart><namePart type="termsOfAddress">MD, FACC</namePart><affiliation>From The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, and Texas Children's Hospital and The Division of Surgery, Texas Heart Institute, Houston, Texas, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1980</dateIssued><dateValid encoding="w3cdtf">1980-01-23</dateValid><dateModified encoding="w3cdtf">1980-01-21</dateModified><copyrightDate encoding="w3cdtf">1979</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 lang="en">The technique, indications and results of surgical division of accessory atrioventricular connections in 10 infants and children with drug-resistant Supraventricular tachycardia are described. The patients ranged in age from 6 months to 15 years. Four patients had associated congenital heart disease. Division of accessory connections were performed on free wall pathways in nine patients (seven right atrial, two left atrial) and on a septal pathway in one patient. Four patients had both anterograde and retrograde conduction over the accessory connection (manifest Wolff-Parkinson-White conduction) whereas six had only retrograde conduction (concealed Wolff-Parkinson-White conduction). The manifest Wolff-Parkinson-White conduction was abolished by surgical division in all four patients. In 8 of the 10 patients the procedure stopped the attacks of paroxysmal supraventricular tachycardia for follow-up periods ranging from 9 months to 3 12 years; no patient receives medication to date.</abstract><note type="content">Section title: Pediatric cardiology</note><relatedItem type="host"><titleInfo><title>The American Journal of Cardiology</title></titleInfo><titleInfo type="abbreviated"><title>AJC</title></titleInfo><genre type="Journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">198008</dateIssued></originInfo><identifier type="ISSN">0002-9149</identifier><identifier type="PII">S0002-9149(00)X0441-9</identifier><part><date>198008</date><detail type="volume"><number>46</number><caption>vol.</caption></detail><detail type="issue"><number>2</number><caption>no.</caption></detail><extent unit="issue pages"><start>A109</start><end>A112</end></extent><extent unit="issue pages"><start>A3</start><end>A48</end></extent><extent unit="issue pages"><start>A49</start><end>A60</end></extent><extent unit="issue pages"><start>A61</start><end>A66</end></extent><extent unit="issue pages"><start>A67</start><end>A72</end></extent><extent unit="issue pages"><start>A73</start><end>A82</end></extent><extent unit="issue pages"><start>A83</start><end>A88</end></extent><extent unit="issue pages"><start>A89</start><end>A96</end></extent><extent unit="issue pages"><start>A97</start><end>A108</end></extent><extent unit="issue pages"><start>189</start><end>358</end></extent><extent unit="pages"><start>281</start><end>284</end></extent></part></relatedItem><identifier type="istex">5126C3E71CD22ABAFAEC26213963B165844B6FD4</identifier><identifier type="DOI">10.1016/0002-9149(80)90071-5</identifier><identifier type="PII">0002-9149(80)90071-5</identifier><identifier type="ArticleID">80900715</identifier><recordInfo><recordContentSource>ELSEVIER</recordContentSource></recordInfo></mods></metadata><enrichments><istex:refBibTEI 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