Accessory atrioventricular connections

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Cryosurgical Ablation of Accessory Atrioventricular Connections

Cryothermia, a new technique for definitive treatment of the pre-excitation syndrome, is described in two patients. The first patient presented with a normal P-R interval with a delta wave and reciprocating tachycardia. Preoperative electrophysiologic study suggested a free-wall atrioventricular connection on the left posterior atrioventricular (A-V) groove. At surgery, epicardial mapping confi...

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Radiofrequency Catheter Ablation of Accessory Atrioventricular Connections

or paroxysmal supraventricular tachycardia involving a concealed accessory AV connection underwent catheter ablation with the use of radiofrequency current. In 179 of the 250 patients, catheter ablation was performed at the time of an initial electrophysiology test. Two hundred thirty-five patients had one accessory AV connection and 15 patients had two or more. One hundred eighty-three accesso...

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Coronary venous aneurysms and accessory atrioventricular connections.

Histological investigation of a heart with aneurysmal malformation of the anterior cardiac vein showed atypical accessory atrioventricular pathways that could have been the basis for bypass tracts and ventricular pre-excitation. Review of other cases with coronary sinus or venous aneurysms showed a striking association with sudden death. Such malformations may not be as benign as previously tho...

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Radiation exposure during radiofrequency catheter ablation of accessory atrioventricular connections.

BACKGROUND Catheter ablation of accessory atrioventricular (AV) connections has been demonstrated to be effective in more than 85% of patients. One of the risks of this procedure is radiation exposure during the fluoroscopic imaging necessary to guide catheter manipulation. The objective of the present study was to measure the radiation received by patients and physicians during radiofrequency ...

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Delayed effects of radiofrequency energy on accessory atrioventricular connections.

The purpose of this study was to determine the incidence and characteristics of delayed effects on conduction through accessory atrioventricular (AV) connections after apparently successful attempts at radiofrequency catheter ablation. Among 450 patients who had 471 accessory AV connections, the ablation procedure was unsuccessful in 26 patients (6%), as defined by persistent conduction through...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1979

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)38146-2