Richards D, Denniss A, Russell P, Johnson D, Buchanan N, Whight C, Chong A, Uther J
Aust N Z J Med. 1982 Feb;12(1):52-5. doi: 10.1111/j.1445-5994.1982.tb02426.x.
A child with Wolff-Parkinson-White syndrome developed incessant supraventricular tachycardia refractory to medical therapy and countershocks. Supraventricular tachycardias incorporating both right and left free wall accessory atrioventricular electrical connections were demonstrated. The more frequent, broad complex tachycardia utilised both the accessory connections and was independent of the atrioventricular node. The less frequent, narrow complex tachycardia utilised the atrioventricular node for anterograde conduction and the left sided accessory connection for retrograde conduction. Surgical division of the accessory connections restored normal sinus rhythm and eliminated supraventricular tachycardia.
一名患有预激综合征的儿童出现持续性室上性心动过速，药物治疗和电击除颤均无效。该患儿存在右侧和左侧游离壁房室旁道电连接参与的室上性心动过速。较频发的宽QRS波心动过速利用了两条旁道，且不依赖房室结。较不频发的窄QRS波心动过速则利用房室结进行前向传导，利用左侧旁道进行逆向传导。手术切断旁道后恢复了正常窦性心律，消除了室上性心动过速。
