HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Iwa, T. Articles by Kamata, E. Search for Related Content PubMed PubMed Citation Articles by Iwa, T. Articles by Kamata, E.

The Journal of Thoracic and Cardiovascular Surgery, Vol 91, 225-233, Copyright © 1986 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Radical surgical cure of Wolff-Parkinson-White syndrome: the Kanazawa experience

T Iwa, T Mitsui, T Misaki, K Mukai, T Magara and E Kamata

Between 1973 and 1983, we operated on 160 patients with Wolff-Parkinson- White syndrome at Kanazawa University Hospital; 126 had Wolff-Parkinson- White syndrome alone, and 34 had combined cardiac diseases. Of the 160 patients, 140 were completely cured; postoperatively, they had no delta wave on electrocardiograms and no tachycardia attacks. In 11 patients, the delta wave reappeared an average of 56 days after operation. They, and three other patients with concealed Wolff-Parkinson-White syndrome, experienced several postoperative episodes of tachycardia. However, in 12 of the 14 patients with postoperative tachycardia attacks, these disappeared completely in the course of a long follow-up period and these patients are also considered to be cured symptomatically. In the two remaining patients, the tachycardia attacks persisted. Of the 126 patients with Wolff-Parkinson-White syndrome alone, none died as a direct result of the operation. Patients with combined cardiac diseases other than cardiomyopathy, mild Ebstein's anomaly, or venous abnormality were treated in one operation. Six of the 34 patients with combined cardiac diseases died. In none of the 160 patients was the His bundle intentionally interrupted as an alternative method of interrupting the accessory conduction pathway. Our study showed that life-threatening arrhythmias occur more often than expected in patients with Wolff-Parkinson-White syndrome and the tolerance for tachycardia attacks differs from patient to patient. Because the surgical treatment of Wolff-Parkinson-White syndrome is safe and reliable, as indicated in this report, the radical correction of this disease should be considered in carefully evaluated patients.

This article has been cited by other articles:

				F. A. Crawford Jr and P. C. Gillette Surgical treatment of cardiac dysrhythmias in infants and children Ann. Thorac. Surg., October 1, 1994; 58(4): 1262 - 1268. [Abstract] [PDF]

				H. Ohtake, T. Misaki, Y. Matsunaga, G. Watanabe, M. Takahashi, I. Matsumoto, M. Kawasuji, and Y. Watanabe Development of a new intraoperative radiofrequency ablation technique using a needle electrode Ann. Thorac. Surg., September 1, 1994; 58(3): 750 - 753. [Abstract] [PDF]

				T. Misaki, G. Watanabe, T. Iwa, Y. Matsunaga, H. Ohotake, M. Tsubota, M. Takahashi, K. Yamamoto, and Y. Watanabe Surgical treatment of patients with Wolff-Parkinson-White syndrome and associated acquired valvular heart disease J. Thorac. Cardiovasc. Surg., July 1, 1994; 108(1): 68 - 72. [Abstract] [Full Text]

				T. Misaki, G. Watanabe, T. Iwa, Y. Matsunaga, H. Ohtake, M. Tsubota, M. Takahashi, and Y. Watanabe Surgical treatment of Wolff-Parkinson-White syndrome in infants and children Ann. Thorac. Surg., July 1, 1994; 58(1): 103 - 107. [Abstract] [PDF]

				G. V. Knyschov, A. S. Stychinsky, V. P. Zalevsky, V. P. Yaroschenko, and P. A. Almiz Surgical treatment of supraventricular tachycardia: Experience with 61 patients Ann. Thorac. Surg., November 1, 1991; 52(5): 1141 - 1144. [Abstract] [PDF]

				T. Sueda, Y. Matsuura, H. Ishihara, Y. Hamanaka, H. Shikata, H. Nakagawa, and M. Okamoto Surgical repair of Wolff-Parkinson-White syndrome complicated with myocardial bridging Ann. Thorac. Surg., January 1, 1991; 51(1): 119 - 121. [Abstract] [PDF]

				A. W. Lee, F. A. Crawford, P. C. Gillette, and S. M. Roble Cryoablation of septal pathways in patients with supraventricular tachyarrhythmias Ann. Thorac. Surg., April 1, 1989; 47(4): 566 - 568. [Abstract] [PDF]

				S. Watanabe, H. Koyanagi, M. Endo, Y. Yagi, A. Shiikawa, and H. Kasanuki Cryosurgical ablation of accessory atrioventricular pathways without cardiopulmonary bypass: An epicardial approach for Wolff-Parkinson-White syndrome Ann. Thorac. Surg., February 1, 1989; 47(2): 257 - 264. [Abstract] [PDF]

				J. G. Selle, W. C. Sealy, J. J. Gallagher, J. M. Fedor, R. H. Svenson, and S. H. Zimmern Technical Considerations in the Surgical Approach to Multiple Accessory Pathways in the Wolff-Parkinson-White Syndrome Ann. Thorac. Surg., June 1, 1987; 43(6): 579 - 584. [Abstract] [PDF]