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The Journal of Thoracic and Cardiovascular Surgery, Vol 81, 707-712, Copyright © 1981 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association


ARTICLES

Surgical problems with multiple accessory pathways of atrioventricular conduction

WC Sealy and JJ Gallagher

Thirty-six accessory pathways of atrioventricular conduction of the Kent type were found in 17 patients in a series of 161 patients subjected to direct operation for arrhythmias caused by the pathways. Careful preoperative studies detected the multiple pathways in 11 patients. In four patients, the additional pathways were found at operation, and in two patients they were found after operation. The operation successfully interrupted 32 of the 36 pathways. Multiple pathways must be sought for in all patients who are operated upon for arrhythmias caused by accessory pathways.





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Copyright © 1981 by The American Association for Thoracic Surgery.