[A case report of successful one-stage operation in TGA (group III) with WPW syndrome]

A patient who had received balloon atrioseptotomy and B-T shunt operation previously experienced recurrent episodes of supraventricular tachycardia, and was refractory to medical treatment since the age to 3. At 9 years, the patient underwent intraoperative electrophysiological mapping which confirmed the earliest breakthrough at the crux of posterior septal region. Rastelli's operation and division of posterior septal Kent was simultaneously performed successfully. Post operative ECG was normalized with abolition of delta wave, and PSVT was gone. We concluded that the division of Kent bundle should be simultaneously performed with operative reconstruction in patients with congenital heart disease and WPW syndrome on postoperative care for SVT.