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Surgical treatment of Wolff-Parkinson-White syndrome combined with variant angina pectoris.

Authors
Type
Published Article
Journal
The Journal of cardiovascular surgery
Publication Date
Volume
30
Issue
5
Pages
735–739
Identifiers
PMID: 2509480
Source
Medline
License
Unknown

Abstract

Seven patients with coexistent Wolff-Parkinson-White (WPW) syndrome and variant angina pectoris underwent surgical interruption of an accessory atrioventricular conduction pathway. In two of these patients, perioperative coronary artery spasm occurred. One patient had a perioperative myocardial infarction and the other patient treated successfully had no infarction. Nitroglycerin and nifedipine were administered during and following operation in the other 5 patients without perioperative coronary artery spasm. No adverse effect was observed in the intraoperative electrophysiological study. Combined therapy of intravenous nitroglycerin administration and sublingual nifedipine administration are useful in the perioperative management of patients with coexistent WPW syndrome and variant angina pectoris.

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