EurekaMag
+ Translate
+ Most Popular
Gaucher's disease;thirty-two years experience at Siriraj Hospital
A study of Macrobathra Meyrick from China (Lepidoptera, Cosmopterigidae)
First occurrence in ores of tetragonal chalcocite
Effects of trace element nutrition on sleep patterns in adult women
N.Z. range management guidelines. 2. Design of grazing management systems for tussock country
A case of lipoma of the esophagus
A revision of world Acanthosomatidae (Heteroptera: Pentatomidae): keys to and descriptions of subfamilies, tribes and genera, with designation of types
Life history of the coronate scyphozoan Linuche unguiculata (Swartz, 1788)
Perceptual restoration of obliterated sounds
Mutagenicity studies on two chromium(III) coordination compounds
The formation of the skeleton. I. Growth of a long bone. 1st appearance of a center of calcification
Leucopenia and abnormal liver function in travellers on malaria chemoprophylaxis
The joint commission: four key root causes loom large in sentinel event data
Treatment of vitiligo with topical 15% lactic acid solution in combination with ultra violet-A
Behaviour of dairy cows within three hours after feed supply: I. Influence of housing type and time elapsing after feed supply
Observations of the propagation velocity and formation mechanism of burst fractures caused by gunshot
Management and control of patients with type 2 diabetes mellitus in Lebanon: results from the International Diabetes Management Practices Study (IDMPS)
The diet composition and nutritional knowledge of patients with anorexia nervosa
Physoporella croatica Herak, 1958 of the Slovak karst Anisian (Slovakia, the West Carpathians Mts.)
Bright lights, big noise. How effective are vehicle warning systems?
Ein Plesiosaurier-Rest mit Magensteinen aus mittlerem Lias von Quedlinburg
Incidence of Chlamydia trachomatis in patients with sterility
Monster soup: the microscope and Victorian fantasy
Preliminary tests with residual sprays against poultry lice
Duration of the life of plants in phylogeny

Right atrial isolation: a new surgical treatment for supraventricular tachycardia. I. Surgical technique and electrophysiologic effects


Right atrial isolation: a new surgical treatment for supraventricular tachycardia. I. Surgical technique and electrophysiologic effects



Journal of Thoracic and Cardiovascular Surgery 95(4): 643-650



ISSN/ISBN: 0022-5223

PMID: 3352299

This study describes the surgical technique and electrophysiologic effects of isolating the right atrium while preserving normal function and continuity of the sinoatrial node with the remainder of the heart. Thirteen adult mongrel dogs underwent normothermic cardiopulmonary bypass. A posterorlateral right atriotomy was performed that encircled the upper right atrium but excluded the atrial pacemaker complex. The incision was extended anteromedially to the tricuspid valve anulus just anterior to the membranous interatrial septum and inferiorly just posterior to the os of the coronary sinus and the tricuspid valve anulus. Postoperatively, electrophysiologic data confirmed (1) that the body of the right atrium was electrically isolated from the remainder of the heart, (2) that the sinoatrial node continued to function normally, and (3) that the sinoatrial node remained in continuity with the left atrium and ventricles. Right atrial tachycardia was simulated by rapid right atrial pacing and was confined to the isolated right atrium. Moreover, the simulated tachycardia did not affect normal sinus rhythm or normal atrioventricular conduction. It is concluded that isolation of the right atrium with preservation of normal sinoatrial node function and continuity is feasible. This technique offers an alternative to the current surgical approaches for management of refractory supraventricular tachycardias that arise in the right atrium.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 006344130

Download citation: RISBibTeXText

Related references

Right atrial isolation: a new surgical treatment for supraventricular tachycardia. II. Hemodynamic effects. Journal of Thoracic and Cardiovascular Surgery 95(4): 651-657, 1988

Right atrial isolation: a new surgical treatment for supraventricular tachycardia. The Journal of Thoracic and Cardiovascular Surgery 95(4): 643-650, 1988

Biatrial isolation--a new surgical treatment for supraventricular tachycardia. Japanese Circulation Journal 54(1): 100-108, 1990

Surgical treatment of a difficult case of atrial tachycardia requiring multiple electrophysiologic procedures. Journal of Electrocardiology 74: 1-4, 2022

Electrophysiologic study and surgical ablation of refractory and life threatening supraventricular tachycardia in children. European Journal of Pediatrics 150(4): 298, 1991

Electrophysiologic operations. Surgical treatment of life-threatening tachycardia: indications, surgical possibilities, results. Zeitschrift für die Gesamte Innere Medizin und ihre Grenzgebiete 47(5): 218-228, 1992

Radial approach: A new concept in surgical treatment for atrial fibrillation. II. Electrophysiologic effects and atrial contribution to ventricular filling. Annals of Thoracic Surgery 67(1): 36-50, 1999

Surgical excision of automatic atrial tachycardia: anatomic and electrophysiologic correlates. American Heart Journal 104(5 Pt 1): 1076-1085, 1982

The surgical treatment of atrial fibrillation. II. Intraoperative electrophysiologic mapping and description of the electrophysiologic basis of atrial flutter and atrial fibrillation. Journal of Thoracic and Cardiovascular Surgery 101(3): 406-426, 1991

Surgical repair of coronary sinus atrial septal defect and supraventricular tachycardia. Interactive Cardiovascular and Thoracic Surgery 8(2): 290-291, 2009

The electrophysiologic effects of discrete cryosurgery for the treatment of supraventricular tachycardia due to AV nodal reentry. Japanese Circulation Journal 48(2): 127-135, 1984

Surgical treatment of supraventricular tachycardia. Klinicheskaia Khirurgiia 1991(6): 56-58, 1991

Surgical treatment of supraventricular tachycardia. Grudnaia i Serdechno-Sosudistaia Khirurgiia 10: 16-20, 1991

Double supraventricular tachycardia and its surgical treatment. Orvosi Hetilap 134(9): 469-472, 1993

The first experience with surgical treatment of supraventricular tachycardia. Grudnaia i Serdechno-Sosudistaia Khirurgiia 6: 18-20, 1991