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ARTICLE |

Histologic Observations After Closed Chest Ablation of the Atrioventricular Conduction System FREE

Giuseppe Critelli, MD, FACC; John J. Gallagher, MD, FACC; Gaetano Thiene, MD; Francesco Perticone, MD; Vittorio Monda, MD; Lino Rossi, MD
[+] Author Affiliations

Reprint requests to Istituto di I Clinica Medica, II Policlinico, via S Pansini, 5, 80131 Napoli, Italy (Dr Critelli).


JAMA. 1984;252(18):2604-2606. doi:10.1001/jama.1984.03350180058031
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Postmortem examination of the heart was done in a case with disabling supraventricular tachyarrhythmia successfully treated by closed-chest ablation of the His bundle. A ventricular aneurysm developed as a result of a previous myocardial infarction, and death occurred suddenly five months after the procedure. Histologic studies of the atrioventricular (AV) junctional tissue demonstrated severe damage to the nearby AV node and penetrating His bundle. No damage to the branching His bundle or either bundle branch was observed.

(JAMA 1984;252:2604-2606)

REFERENCES

Gallagher JJ, Svenson RH, Kasell J, et al:  Catheter technique for closed chest ablation of the atrioventricular conduction system: A therapeutic alternative for the treatment of refractory supraventricular tachycardia . N Engl J Med 1982;;306:194-200.
Scheinman MM, Morady F, Hess DS, et al:  Catheter induced ablation of the atrioventricular junction to control reciprocating supraventricular arrhythmias . JAMA 1982;;248:851-855.
Critelli G, Perticone F, Coltorti F, et al:  Antegrade slow bypass conduction after closed chest ablation of the His bundle in permanent junctional reciprocating tachycardia . Circulation 1983;;67:687-692.
Critelli G, Perticone F, Coltorti F, et al:  Closed chest modification of the atrioventricular conduction system in man for treatment of refractory supraventricular tachycardia . Br Heart J 1983;;49:544-549.
Sealy WC, Gallagher JJ, Kasell J:  His bundle interruption for control of inappropriate ventricular responses to atrial arrhythmias . Ann Thorac Surg 1981;;32:429-438.
Gallagher JJ:  Closed chest ablation of the atrioventricular conduction system . Int J Cardiol 1983;;2:507-511.
Rossi L, Thiene G: Arrhythmologic Pathology of Sudden Cardiac Death . Milan, Italy, Case Editrice Ambrosiana, 1983;, p 150.
Beazell JW, Tan KS, Fewekes JL, et al:  Technique for the production of permanent lesions in the intracardiac conduction system, abstracted . Clin Res 1977;;25:141.
Gonzalez R, Scheinmann MM, Margareatten W, et al:  Closed-chest permanent atrioventricular block in dogs: Techniques and anatomic changes, abstracted . Am J Cardiol 1981;;47:428.
Bardy GH, Ideker RE, Kasell J, et al:  Transvenous ablation of the atrioventricular conduction system in dogs: Electrophysiology and histologic observations . Am J Cardiol 1983;; 51:1775-1782.

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Gallagher JJ, Svenson RH, Kasell J, et al:  Catheter technique for closed chest ablation of the atrioventricular conduction system: A therapeutic alternative for the treatment of refractory supraventricular tachycardia . N Engl J Med 1982;;306:194-200.
Scheinman MM, Morady F, Hess DS, et al:  Catheter induced ablation of the atrioventricular junction to control reciprocating supraventricular arrhythmias . JAMA 1982;;248:851-855.
Critelli G, Perticone F, Coltorti F, et al:  Antegrade slow bypass conduction after closed chest ablation of the His bundle in permanent junctional reciprocating tachycardia . Circulation 1983;;67:687-692.
Critelli G, Perticone F, Coltorti F, et al:  Closed chest modification of the atrioventricular conduction system in man for treatment of refractory supraventricular tachycardia . Br Heart J 1983;;49:544-549.
Sealy WC, Gallagher JJ, Kasell J:  His bundle interruption for control of inappropriate ventricular responses to atrial arrhythmias . Ann Thorac Surg 1981;;32:429-438.
Gallagher JJ:  Closed chest ablation of the atrioventricular conduction system . Int J Cardiol 1983;;2:507-511.
Rossi L, Thiene G: Arrhythmologic Pathology of Sudden Cardiac Death . Milan, Italy, Case Editrice Ambrosiana, 1983;, p 150.
Beazell JW, Tan KS, Fewekes JL, et al:  Technique for the production of permanent lesions in the intracardiac conduction system, abstracted . Clin Res 1977;;25:141.
Gonzalez R, Scheinmann MM, Margareatten W, et al:  Closed-chest permanent atrioventricular block in dogs: Techniques and anatomic changes, abstracted . Am J Cardiol 1981;;47:428.
Bardy GH, Ideker RE, Kasell J, et al:  Transvenous ablation of the atrioventricular conduction system in dogs: Electrophysiology and histologic observations . Am J Cardiol 1983;; 51:1775-1782.
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