Pogrebniak V V, Bugaev M V, Krot V F, Morozov N V
Grud Serdechnososudistaia Khir. 1991 Jun(6):18-20.
The article analyses the late-term results of operations on 46 patients for paroxysms of supraventricular tachyarrhythmias (SVTA) which were refractory to prophylactic administration of antiarrhythmics. Transvenous electrodestruction of the atrio-ventricular junction were carried out in 39 patients. The results were good in 34 and satisfactory in 3 patients; conductivity and paroxysms reappeared in 2 patients. ++Anti-tachycardial ECS were implanted in 6 patients with good results. One patient underwent electrodestruction of an accessory conduction tract of the type of Kent's bundle with a stable clinical effect. The results of the study provide evidence of the high efficacy of surgical management of complex SVTA in a regional cardiosurgical center.
本文分析了46例阵发性室上性心律失常（SVTA）患者的手术后期结果，这些患者对阵发性室上性心律失常预防性使用抗心律失常药物无效。39例患者进行了经静脉房室交界区电毁损术。34例效果良好，3例效果满意；2例患者出现传导恢复和心律失常复发。6例患者植入了抗心动过速电子心脏刺激器（ECS），效果良好。1例患者接受了肯特束型附加传导束电毁损术，临床效果稳定。该研究结果证明了在地区心脏外科中心对复杂SVTA进行手术治疗的高效性。
