When is surgical open heart treatment indicated in Wolff-Parkinson-White (WPW) syndrome?

Updated: Jan 08, 2017
  • Author: Christopher R Ellis, MD, FACC, FHRS; Chief Editor: Mikhael F El-Chami, MD  more...
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Answer

Radiofrequency catheter ablation has virtually eliminated surgical open heart treatments in the vast majority of WPW patients, with the following exceptions:

  • Patients in whom RF catheter ablation (with repeated attempts) fails
  • Patients undergoing concomitant cardiac surgery (possible exception)
  • Patients with other tachycardias with multiple foci who require surgical intervention (very rare)

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