@article{05ef5e0ce4a6424aad77b3dbdff30b5b,
title = "Successful surgical treatment of atrial, junctional, and ventricular tachycardia unassociated with accessory connections in infants and children",
abstract = "Five children with severe, life-threatening tachydysrhythmias were treated successfully with surgery. Three had atrial ectopic automatic tachycardia (AET), one had AV junctional (His bundle) automatic ectopic tachycardia (JET), and one had ventricular reentry tachycardia (VT). The mechanism and site of the tachycardia were diagnosed preoperatively using intracardiac electrophysiologic studies (EPS). Medical management with all avaliable drugs failed to control the tachycardia in each patient. The two patients with left atrial AET underwent cryoabiation of the focus using cardiopulmonary bypass. The patient with right atrial AET had removal of the anterior one third of the right atrial appendage and cryoablation of the edges. The patient with AV JET first had incision and suture ligation of the bundle of His and implantation of a ventricular pacemaker, but the tachycardia recurred 2 weeks later. Cryoabiation of the bundle of His prevented further recurrences. Tachycardia stopped in the patient with VT during incision of a tumor in the apex of the left ventricle. No patient had tachycardia after surgery and none has required medical treatment.",
author = "Gillette, {Paul C.} and Arthur Garson and Hesslein, {Peter S.} and Karpawich, {Peter P.} and Tierney, {Ralph C.} and Cooley, {Denton A.} and McNamara, {Dan G.}",
note = "Funding Information: From the Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine and Texas Children{\textquoteright}s Hospital; Fort Worth Children{\textquoteright}s Hospital; and Division of Cardiovascular Surgery, Texas Heart Institute. Supported in part by four granta from the National Institutes of Health: United States Public Health Service, National Research Service Award HL-07190; General Clinical Research Branch Grant RR-9916& Research Career Development Award HL96571 (Dr. Gillette); and Young Investigator Research Award HL-24916 (Dr. Garson); and by donations from Mr. and Mrs. Harry Blumenthal in honor of Carrie Elizabeth Horwits; and Paula and Alexander Adams; and by The J.S. Abercrombie Foundation. Received for publication July 2, 1981; accepted July 17, 1981. Reprint requests: Paul C. Gillette, M.D., Section of Pediatric Cardiology, Texas Children{\textquoteright}s Hospital, 6621 Farmin, Houston, TX 77030.",
year = "1981",
month = dec,
doi = "10.1016/0002-8703(81)90481-6",
language = "English",
volume = "102",
pages = "984--991",
journal = "American Heart Journal",
issn = "0002-8703",
number = "6 PART 1",
}