Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 1 de 1
Filter
Add more filters

Database
Language
Publication year range
1.
Indian Heart J ; 49(2): 173-8, 1997.
Article in English | MEDLINE | ID: mdl-9231550

ABSTRACT

Sixteen patients suffering from various cardiac arrhythmias were treated surgically. Intraoperative computerised electrophysiologic mapping was used in 14. Thirteen patients were suffering from Wolff-Parkinson-White syndrome. They underwent surgical division or cryoablation of accessory pathways. Two patients who had rheumatic mitral stenosis with left atrial clot underwent "Maze III" procedure with open mitral commissurotomy and clot removal. One patient with paroxysmal refractory ventricular tachycardia and a left ventricular aneurysm had an aneurysmectomy with subendocardial resection of the arrhythmic focus. All antiarrhythmic medications were discontinued preoperatively. Morphine was the principal anaesthetic agent, supplemented with halothane. Muscle relaxation was provided with pancuronium bromide. The various problems encountered included hypotension and arrhythmia during placement of epicardial band array for mapping (4 patients), ventricular tachycardia during internal jugular vein cannulation (1 patient) and continuance of delta wave after cryoablation in 2 patients. Halothane may have interfered with electrophysiologic mapping and accurate localization of accessory pathway leading to persistence of delta wave. The choice of anaesthetic agents should be guided by the electrophysiologic effects and potential influence of these agents on the accessory pathways.


Subject(s)
Anesthesia , Tachycardia/surgery , Adult , Anesthetics, Inhalation , Blood Transfusion, Autologous , Cryosurgery , Electrophysiology , Female , Halothane , Heart Conduction System/abnormalities , Heart Conduction System/surgery , Humans , Male , Muscle Relaxation , Neuromuscular Nondepolarizing Agents , Pancuronium , Wolff-Parkinson-White Syndrome/surgery
SELECTION OF CITATIONS
SEARCH DETAIL