What question did this study set out to answer?

To explore the effectiveness of surgical ligation of the A-V bundle in controlling arrhythmias in WPW syndrome after other treatments failed.

December 1, 1968CirculationOpen Access

Control of Recurrent Tachycardia of Wolff-Parkinson-White Syndrome by Surgical Ligature of the A-V Bundle

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Why the study?

Does surgical ligation of the A-V bundle prevent recurrent tachycardias in a patient with refractory WPW syndrome?

Key Points

To explore the effectiveness of surgical ligation of the A-V bundle in controlling arrhythmias in WPW syndrome after other treatments failed.
Patient with WPW type A underwent surgical ligation of the A-V bundle after pharmacological therapy and radioactive iodine failed.
Multiple sutures were placed in the A-V junction.
The heart's response was monitored for evidence of A-V block.
Complete elimination of recurrent tachycardias after A-V ligation was observed.
Failure to identify A-V block despite multiple sutures indicates activation through accessory A-V bundles.
The normal A-V transmission system is likely integral in the tachycardia pathway.

Structured PICO

Does surgical ligation of the A-V bundle prevent recurrent tachycardias in a patient with refractory WPW syndrome?

Population

1 patient with Wolff-Parkinson-White (WPW) syndrome, type A, with disabling, life-threatening arrhythmia refractory to pharmacological therapy and radioactive iodine

Intervention

Surgical ligation of the A-V bundle

Outcome

Elimination of recurrent tachycardias

Surgical ligation of the A-V bundle successfully eliminated recurrent tachycardias in a patient with refractory WPW syndrome, highlighting the role of the normal A-V transmission system in the tachycardia circuit.

Discussion

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Implication

May offer surgical option in refractory WPW; case report leaves open need for prospective validation.

Cite This Study

Dreifus et al. (1968) studied this question.

synapsesocial.com/papers/6a0934d1b7dd28a06e160e9e https://doi.org/10.1161/01.cir.38.6.1030

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Control of Recurrent Tachycardia of Wolff-Parkinson-White Syndrome by Surgical Ligature of the A-V Bundle

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Control of Recurrent Tachycardia of Wolff-Parkinson-White Syndrome by Surgical Ligature of the A-V Bundle

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

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