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[Surgery for WPW syndrome with concomitant CABG: a case report]
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|April 1, 1996
Summary
This study presents a successful simultaneous surgical treatment for Wolff-Parkinson-White (WPW) syndrome and coronary artery disease. The combined procedure effectively resolved both atrial tachyarrhythmia and angina in a patient with complex cardiac conditions.
Area of Science:
- Cardiology
- Cardiac Surgery
- Electrophysiology
Background:
- A 58-year-old male presented with WPW syndrome and refractory angina post-myocardial infarction.
- Previous percutaneous transluminal coronary angioplasty (PTCA) failed to resolve recurrent angina and restenosis.
- Preoperative ECG and electrophysiological studies confirmed a left free wall accessory pathway.
Observation:
- The patient experienced frequent atrial tachyarrhythmia episodes coinciding with angina.
- Coronary artery disease was evidenced by persistent angina despite multiple PTCA attempts.
Findings:
- Simultaneous surgical intervention included coronary artery bypass grafting (LITA-LAD, SVG-4 PD) and accessory pathway ablation via a transseptal left atrial approach.
- Cryoablation successfully divided the accessory pathway.
Implications:
- This case demonstrates the efficacy of combined surgical treatment for WPW syndrome and ischemic heart disease.
- Successful management of complex cardiac conditions can lead to significant symptom relief and improved patient outcomes.
- Transseptal left atrial approach offers a viable strategy for accessory pathway ablation in complex cases.