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Surgery on concealed Wolff-Parkinson-White syndrome Keiichi Mukai 1 , Takashi Iwa 1 , Hiroaki Kobayashi 1 , Yoshiaki Kodama 1 , Kazuhiro Tsuchiya 1 , Shigeto Matsushima 2 11st Dept. of Surgery, Kanazawa Univ. 21st Dept. of Int. Med., Kanazawa Univ. pp.779-783
Published Date 1981/7/15
DOI https://doi.org/10.11477/mf.1404203812
  • Abstract
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 A 32-year-old male with recurrent paroxysmal supraventricular tachycardia was studied electro-physiologically. The presence of a left posterior septal atrioventricular accessory pathway capable only of retrograde conduction, concealed Wolff-Parkinson-White, was diagnosed.

 The patient underwent surgical interruption of the concealed accessory pathway successfully. Epicardial excitation was studied during the surgery. Epicardial mapping of the ventricle during sinus rhythm revealed no preexcitation sequence. Epicardial mapping of the atrium during SVT confirmed the prosence of a concealed accessory pathway at the left posterior septum. At this portion, interruption of the left atrium and the left ventricle along the mitral annulus was made.


Copyright © 1981, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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