Sealy W C
Ann Thorac Surg. 1984 Aug;38(2):176-80. doi: 10.1016/s0003-4975(10)62230-8.
The bundle of Kent, one of the two pathways involved in the reentry tachycardia of the Wolff-Parkinson-White syndrome, was identified and then interrupted fifteen years ago. This marked the beginning of direct arrhythmia surgery. The patient was a 31-year-old man with a right free wall pathway and persistent tachycardia refractory to medical treatment. In the present report, the historical landmarks in the description of the morphology of the conduction system are reviewed. Current methods of interrupting the Kent bundle, based on experience with more than 200 surgical patients, are discussed. Included is the newer method of simplifying the surgical procedure with cryothermia. Speculation about the future of direct arrhythmia surgery is given in the concluding remarks.
肯特束是预激综合征折返性心动过速所涉及的两条途径之一，于15年前被识别并阻断。这标志着直接心律失常手术的开端。该患者是一名31岁男性，有一条右侧游离壁途径且持续性心动过速，药物治疗无效。在本报告中，回顾了传导系统形态描述方面的历史里程碑。基于200多名手术患者的经验，讨论了目前阻断肯特束的方法。其中包括用低温冷冻简化手术操作的新方法。结语部分对直接心律失常手术的未来进行了展望。
