| Surgical treatment of Wolff-Parkinson-White syndrome in infants and children. | |
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MedLine Citation:
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PMID: 8037505 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Electrophysiologic features and surgical results were examined in 55 pediatric patients who underwent surgical accessory pathway division for Wolff-Parkinson-White syndrome. There were 31 male and 24 female patients ranging in age from 4 months to 15 years (mean age, 9.8 +/- 4.2 years; 25 patients were less than 10 years old; 4 patients were less than 12 months). Eleven of these patients had associated congenital heart disease and underwent concomitant surgical procedures to treat those conditions. Preoperative effective refractory period of antegrade accessory pathways, the right atrium, atrioventricular node, and cycle length during reentrant tachycardia were shorter in pediatric patients than in adult patients. Antegrade accessory pathways showed right predominance more frequently in the pediatric group than in the adult group. Surgical techniques included an endocardial approach (an epicardial approach was used in 1 patient) and concomitant operation for combined heart disease. The early mortality rate was 3.6%, whereas no late deaths occurred during the follow-up period of 96.8 +/- 54.9 months (maximum follow-up, 205 months). The absolute cure rate was 92%. There were no significant differences in early and late mortality between pediatric and adult patients. Surgical treatment of the Wolff-Parkinson-White syndrome in pediatric patients is as safe and effective as in adults. Considering the potential complications from prolonged fluoroscopic exposure during catheter ablation, surgical division of accessory pathways in children is a promising modality for the treatment of Wolff-Parkinson-White syndrome in selected cases. |
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Authors:
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T Misaki; G Watanabe; T Iwa; Y Matsunaga; H Ohtake; M Tsubota; M Takahashi; Y Watanabe |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 58 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1994 Jul |
Date Detail:
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Created Date: 1994-08-18 Completed Date: 1994-08-18 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 103-7 Citation Subset: AIM; IM |
Affiliation:
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First Department of Surgery, Toyama Medical and Pharmaceutical University, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Cardiac Pacing, Artificial / methods Catheter Ablation Child Child, Preschool Female Follow-Up Studies Heart Conduction System / surgery* Heart Defects, Congenital / complications, surgery Humans Infant Intraoperative Care / methods Male Time Factors Wolff-Parkinson-White Syndrome / diagnosis, mortality, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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