[The first experience with surgical treatment of supraventricular tachycardia]

The article analyses the late-term results of operations on 46 patients for paroxysms of supraventricular tachyarrhythmias (SVTA) which were refractory to prophylactic administration of antiarrhythmics. Transvenous electrodestruction of the atrio-ventricular junction were carried out in 39 patients. The results were good in 34 and satisfactory in 3 patients; conductivity and paroxysms reappeared in 2 patients. ++Anti-tachycardial ECS were implanted in 6 patients with good results. One patient underwent electrodestruction of an accessory conduction tract of the type of Kent's bundle with a stable clinical effect. The results of the study provide evidence of the high efficacy of surgical management of complex SVTA in a regional cardiosurgical center.