Vítek B, Suchánek M, Vít P, Jelínek Z
Centrum kardiovaskulární a transplantacní chirurgie Brno.
Vnitr Lek. 1992 Nov;38(11):1086-90.
The authors describe the in Czechoslovakia so far not used therapeutic catheterization ablation method of the accessory atrioventricular pathway in patients with tachycardia with the Wolff-Parkinson-White syndrome. They performed successful ablation of the accessory bundle of Kent located by electrophysiological examination behind the left atrium and left ventricle in a 17-year-old boy with WPW Syndrome type A. They severed the accessory pathway by radiofrequency current using a catheter inserted from a retrograde approach into the left ventricle beneath the mitral valve. After ablation the boy suffers no longer from tachycardia, the ECG tracing in devoid of preventricular preexcitation, although he has no medicamentous treatment.
作者描述了在捷克斯洛伐克，一种迄今为止尚未使用过的治疗方法，即对患有预激综合征并伴有心动过速的患者采用房室旁道导管消融术。他们成功地对一名17岁患A型预激综合征男孩位于左心房和左心室后方经电生理检查定位的肯特束进行了消融。他们通过从逆行途径插入二尖瓣下方左心室的导管，利用射频电流切断了旁道。消融术后，该男孩不再遭受心动过速之苦，心电图上也没有室性预激，尽管他没有接受药物治疗。
