[Wolff-Parkinson-White syndrome: late results of surgical treatment].

Abstract:

:We followed 25 patients operated on for Wolff-Parkinson-White syndrome between August 1985 and October 1989. Their mean age was 37 +/- 12 years and arrhythmia had been present for 5 to 30 years. A mean of 3.3 +/- 1.2 antiarrhythmic agents had failed in controlling recurrences. Tachycardia was orthodromic in 21 patients and antidromic in 1, while 3 patients presented rapid atrial fibrillation with hemodynamic deterioration. Drug refractoriness (n = 23) or intolerance (n = 2) were the main surgical indications. The location of accessory pathways was lateral in 19 patients, anteroseptal in 3, posteroseptal in 2, postero lateral in 1 and right lateral in 1 patient. One patient had a double pathway. There was no surgical mortality. After a follow-up period ranging from 1 to 50 months recurrence of arrhythmia was observed in one patient and electrophysiologic evaluation showed persistence of a left lateral pathway in another. The remaining 24 patients are free of symptoms at the end of follow up. Thus, surgical treatment is a curative therapy for most patients with WPW.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

González R,Morán S,Fajuri A,Irarrazabal MJ,Maturana G,Urzua J,Lema G,Espinoza R,Casanegra P

subject

Has Abstract

pub_date

1990-08-01 00:00:00

pages

868-73

issue

8

eissn

0034-9887

issn

0717-6163

journal_volume

118

pub_type

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