[A successful surgical treatment of WPW syndrome associated with tricuspid atresia].
The occurrence of both tricuspid atresia and WPW syndrome is quite rare. To our knowledge, only two operated cases have been reported. In this report, a 8-year-old boy with this combination was reported. Tachycardia via the right side accessory pathway was for the first time pointed out after Kreutzer's operation. Epicardial mapping showed the earliest excitation at the right free wall. When fatty tissue around this area was removed by CUSA, a large cardiac vein appeared. By holding this vein with a forceps, the delta wave disappeared temporarily. ACP seemed to be present near this vein. Permanent disappearance of the delta wave was obtained after ligation and division. Four months after surgery, he is free from tachycardia attacks.
Ohtake
H
H
First Department of Surgery, Kanazawa University School of Medicine.
Iwa
T
T
Misaki
T
T
Watanabe
G
G
Mukai
A
A
Tsubota
M
M
Oumi
M
M
D002648:Child; D006801:Humans; D008297:Male; D014261:Tricuspid Valve / Q000002:abnormalities* / Q000601:surgery; D014927:Wolff-Parkinson-White Syndrome / Q000209:etiology / Q000601:surgery*