Elective mapping and surgical division of the bundle of kent in a patient with Ebstein's anomaly who required tricuspid valve replacement

John D. Kugler, Paul C. Gillette, Desmond F. Duff, Denton A. Cooley, Dan G. McNamara

Research output: Contribution to journalArticle

15 Scopus citations


A 14 year old girl with Ebstein's anomaly and Wolff-Parkinson-White syndrome without supraventricular tachycardia underwent closure of an atrial septal defect and tricuspid valve commissurotomy. Her postoperative course was complicated by her first episodes of recurrent debilitating paroxysmal supraventricular tachycardia. Severe tricuspid insufficiency with low cardiac output necessitated a repeat intracardiac operation. At reoperation the patient underwent successful tricuspid valve replacement with concomitant cardiac mapping and division of the bundle of Kent. In patients with heart disease requiring intracardiac repair who also have Wolff-Parkinson-White syndrome, elective surgical division of the anomalous bundle is recommended whether or not preoperative attacks of tachycardia have occurred.

Original languageEnglish (US)
Pages (from-to)602-605
Number of pages4
JournalThe American Journal of Cardiology
Issue number3
StatePublished - Mar 1978


ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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