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Observation of 13 patients with the septal location of additional conducting pathways is given, 2 of them had James' fibres, 1 had a combination of James' and Mahaim bundles, in the remainder the Kent's bundle was in the anterior position. Removal of conduction through Kent's and His' bundles is described in detail. The syndrome of pre-excitation was successfully removed in 10 out of 12 patients, 1 had relapses later and 2 died. A detailed analysis of all 35 operated on patients with the pre-excitation syndrome is given. Good results were obtained in 88.57%.
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