Solov'ev G M
Kardiologiia. 1979 Aug;19(8):36-41.
Problems concerned with surgery of the heart conduction system are discussed. Two operations performed directly on the heart conduction system are analysed: operation for dividing the bundle of His or Keith's node with subsequent implantation of electrocardiostimulators in ventricular tachycardia unresponse to drugs and operation for dividing the walls of the right atrium and interatrial septum leading to the development of atrioventricular rhythm. The incisions mentioned were used in approach to the mitral and tricuspid valves for their prosthetics. The second part of interventions on the heart conduction system involves surgical techniques aimed at avoiding damage to the conduction system in manipulations mainly on the cardiac septum. The author believes that this branch of cardiac surgery is new and promising.
讨论了与心脏传导系统手术相关的问题。分析了两种直接作用于心脏传导系统的手术：在药物治疗无效的室性心动过速中，切断希氏束或基思氏结并随后植入心电刺激器的手术，以及切断右心房壁和房间隔导致房室节律形成的手术。上述切口用于二尖瓣和三尖瓣置换手术的入路。对心脏传导系统进行干预的第二部分涉及旨在避免在主要针对心脏隔膜的操作中损伤传导系统的手术技术。作者认为，心脏外科的这一分支是新的且具有前景。
