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Two unusual complications after surgical interruption of an accessory pathway.

Abstract
In a patient with the Wolff-Parkinson-White syndrome, Ebstein's anomaly of the tricuspid valve, a right atrial Chiari net and a patent foramen ovale two unusual complications developed after surgical epicardial dissection combined with cryoablation of the anomalous pathway. The first complication was that ablation of the right atrial wall led to changes in interatrial pressure gradients and the development of a right to left shunt necessitating surgical closure of the atrial septal defect. The second complication was the development of a thrombotic mass in the Chiari net simulating on intracavity tumour, which also had to be removed surgically.
AuthorsE C Cheriex, J L Smeets, H J Wellens
JournalBritish heart journal (Br Heart J) Vol. 70 Issue 5 Pg. 471-3 (Nov 1993) ISSN: 0007-0769 [Print] England
PMID8260281 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Budd-Chiari Syndrome (surgery)
  • Ebstein Anomaly (surgery)
  • Echocardiography
  • Heart Septal Defects (complications, surgery)
  • Humans
  • Male
  • Postoperative Complications (surgery)
  • Reoperation
  • Wolff-Parkinson-White Syndrome (diagnostic imaging, surgery)

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