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The Journal of Thoracic and Cardiovascular Surgery, Vol 73, 424-430, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

A study of methods for surgical interruption of the His bundle

WC Sealy, DB Hackel and AV Seaber

The relationship of the atrioventricular (AV) node and His bundle to surrounding structures is described from the viewpoint of the surgeon. A series of experiments were carried out for interruption of atrial to ventricular conduction that included electrocauterization of the His bundle, incision just above the tricuspid annulus to attempt to divide the His bundle, and finally excision of the right atrial wall and the insertion of the atrial septum into the right fibrous trigone to remove all connections from the AV node and atrium to the His bundle. The last procedure was the most satisfactory method, as judged by the certainty of accomplishing both His bundle interruption and interruption at its highest possible point.

This article has been cited by other articles:

				W. C. Sealy His Bundle Interruption for Reentry Tachycardia in Wolff-Parkinson-White Syndrome Ann. Thorac. Surg., September 1, 1983; 36(3): 345 - 352. [Abstract] [PDF]

				M. M. Scheinman, F. Morady, D. S. Hess, and R. Gonzalez Catheter-Induced Ablation of the Atrioventricular Junction to Control Refractory Supraventricular Arrhythmias JAMA, August 20, 1982; 248(7): 851 - 855. [Abstract] [PDF]

				W. C. Sealy, J. J. Gallagher, and J. Kasell His Bundle Interruption for Control of Inappropriate Ventricular Responses to Atrial Arrhythmias Ann. Thorac. Surg., November 1, 1981; 32(5): 429 - 438. [Abstract] [PDF]