Martinez-Leon J, Garcia-Civera R, Sanjuan R, Otero-Coto E
Service of Cardiovascular Surgery, Hospital Clínico Universitario, Valencia, Spain.
Ann Thorac Surg. 1995 Jan;59(1):218-20. doi: 10.1016/0003-4975(94)00319-3.
Kent bundles are seldom visualized at operation, but, in the patient described, the pathway was subepicardial, running superficial to the right coronary artery. This was probably why radiofrequency ablation failed. When this unusual pathway course is encountered, the epicardial approach should be used at operation.