Brechenmacher C, Courtadon M, Jourde M, Yermia J C, Cheynel J, Voegtlin R
Arch Mal Coeur Vaiss. 1976 Dec;69(12):1275-83.
A child of six who had had several losses of consciousness died suddenly during a spell of tachycardia. The EKG showed at times a type B Wolff-Parkinson-White syndrome, at times a Lown-Ganong-Levine syndrome. Intracavitary electrophysiological explorations had been carried out. The interest of this case lies in the comparison between these electrophysiological explorations and the histological examination of the normal and accessory conduction pathways. The short PR interval, which did not lengthen under the effect of premature atrial stimulation, was accounted for by the presence of atrio-His bundle tracts. The intermittent delta wave was due to Hissio-ventricular Mahaim fibres. These two accessory conduction pathways are considered as abnormal.
一名6岁儿童曾多次出现意识丧失,在一次心动过速发作期间突然死亡。心电图有时显示B型预激综合征,有时显示短PR间期综合征。已进行了心腔内电生理检查。该病例的意义在于将这些电生理检查结果与正常和异常传导通路的组织学检查结果进行比较。在房性早搏刺激下PR间期未延长,这是由于存在房希氏束径路。间歇性δ波是由于希氏束-心室型Mahaim纤维所致。这两条异常传导通路被认为是异常的。