Surgical treatment of tachyarrhythmias in patients with both an Ebstein anomaly and a Kent bundle

J Thorac Cardiovasc Surg. 1978 Jun;75(6):847-53.


The report relates experience with six patients with Kent bundles, five of whom had the Wolff-Parkinson-White syndrome, operated upon for tachyarrhythmias caused by the presence of the pathway. It was successfully divided in four patients, its antegrade conduction capacity interrupted in one, and a failure occurred in the sixth patient. In the three patients who had a Kent bundle with a short effective refractory period for antegrade conduction, the life-endangering potential of the Kent pathway was corrected. To emphasize the complexities of the tachyarrhythmias in Ebstein's anomaly, two patients have mild but controllable postoperative supraventricular tachyarrhythmias (SVT) due to a Mahaim pathway. The surgical problems encountered in these patients are reviewed.

Publication types

  • Case Reports
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Ebstein Anomaly / complications*
  • Electrocardiography
  • Female
  • Heart Conduction System / abnormalities*
  • Heart Conduction System / surgery
  • Humans
  • Male
  • Methods
  • Middle Aged
  • Tachycardia / etiology*
  • Wolff-Parkinson-White Syndrome / etiology