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婴儿房室旁道:利用体表标测预测部位及冷冻消融治疗

Accessory atrioventricular pathway in an infant: prediction of location with body surface maps and ablation with cryosurgery.

作者信息

Benson D W, Gallagher J J, Spach M S, Barr R C, Edwards S B, Oldham H N, Kasell J

出版信息

J Pediatr. 1980 Jan;96(1):41-6. doi: 10.1016/s0022-3476(80)80321-0.

DOI:10.1016/s0022-3476(80)80321-0
PMID:7188618
Abstract

A 10-month-old infant with multiple muscular ventricular septal defects, congestive heart failure, Wolff-Parkinson-White syndrome, and supraventricular tachycardia is presented. The site of ventricular pre-excitation was predicted by analysis of ST-T wave isopotential body surface maps to be in the posterior free wall of the right ventricle. The site was confirmed by epicardial mapping of the ventricles during surgery. The pathyway was cryoblated and the ventricular defects were closed. The patient has been free of pre-excitation and supraventricular tachycardia for over two years since surgery.

摘要

本文报告一名10个月大的婴儿,患有多发性肌部室间隔缺损、充血性心力衰竭、预激综合征和室上性心动过速。通过分析ST-T波等电位体表图预测心室预激部位位于右心室后壁。手术期间通过心室心外膜标测证实了该部位。对该旁道进行了冷冻消融,并关闭了室间隔缺损。自手术以来,患者已两年多未出现预激和室上性心动过速。

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Accessory atrioventricular pathway in an infant: prediction of location with body surface maps and ablation with cryosurgery.婴儿房室旁道:利用体表标测预测部位及冷冻消融治疗
J Pediatr. 1980 Jan;96(1):41-6. doi: 10.1016/s0022-3476(80)80321-0.
2
Cryosurgical ablation of accessory atrioventricular connections: a method for correction of the pre-excitation syndrome.
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Concomitant Wolff-Parkinson-White and Atrioventricular Nodal Reentrant Tachycardia: Which Pathway to Ablate?预激综合征合并房室结折返性心动过速:消融哪条路径?
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[Surgical therapy for WPW syndrome combined with paroxysmal atrial tachycardia].预激综合征合并阵发性室上性心动过速的外科治疗
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