[Surgical treatment of Wolff-Parkinson-White syndrome: analysis of the methods and results]. / Khirurgicheskoe lechenie sindroma Vol'fa-Parkinsona-Uaita: analiz metodov i rezul'tatov.

The authors analyse the outcomes of surgical management in 400 patients with the Wolff-Parkinson-White syndrome who had been operated on in the All-Union Centre for Surgical treatment of Severe Cardiac Arrhythmias and Electrocardiostimulation. Unique surgical procedures were applied, which made it possible to perform cryodestruction of accessory atrioventricular pathways, without resorting to an extracorporeal circulation and without opening heart cavities. The procedures are demonstrated to be not inferior to operations using extracorporeal circulation. It is concluded that patients with the Wolff-Parkinson-White syndrome should be operated on under natural circulation, in particular if they have a concomitant abnormality as a risk factor for employing extracorporeal circulation.

[Reconstructive surgery in arteriosclerotic occlusions of the abdominal aorta and iliac arteries]. / Rekonstruktivnaia khirurgiia pri ateroskleroticheskikh okkliuziiakh briushnoi aorty i podvzdoshnykh arterii.

The results of 213 reconstructive operations for atherosclerotic aorto-iliac lesions are reviewed. Good late results were recorded in 64.3% of patients. Total postoperative mortality rate was 5.6%. Operations using synthetic vascular prostheses produced better results, as compared to endarterectomy. Extra-anatomical bypass improves circulation to the limbs in patients with grave attendant diseases.

[Surgical treatment of children with ectopic atrial tachycardia]. / Khirurgicheskoe lechenie detei s éktopicheskoi predserdnoi takhikardiei.

Up-to-date electrophysiologic investigations of the heart, carried out in 212 children with arrhythmias, demonstrated a focus of ectopic atrial tachycardia in 21 (9.9%); 17 of those underwent long-term treatment (up to 10 years) with antiarrhythmic drugs. Kordaron produced a positive effect (discontinuation of the attacks) in 1 case only. Combined use of several antiarrhythmic drugs controlled the frequency of tachycardia in 4 patients. Signs of dilatation cardiomyopathy were in evidence in 60% of children with permanent ectopic tachycardia. Seven of 12 patients who failed to respond to medication were eventually subjected to radical surgery. All but one were discharged from hospital without additional medication and with normal heart rhythm. One child developed groups of extrasystoles generated by the lower right-atrial portion during the 2nd week after surgery. They diminished and eventually disappeared after a supportive digoxin treatment. Surgery is therefore regarded as an effective and radical treatment for ectopic atrial tachycardia in children.