Surgical radiofrequency ablation of atrial flutter: which operation should we choose?

The treatment of atrial flutter (AFL) in patients without structural heart disease (SHD) by transcatheter radiofrequency ablation of the cavotricuspid isthmus (CTI) and bilateral pulmonary veins has achieved good results. We report three cases of typical AFL treated by surgical radiofrequency ablati...

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Detalles Bibliográficos
Autores principales: Chen, Fengjie, Gao, Jin, Song, Chen, Wang, Zhiwei, Xiong, Hui, Ding, Ligang, Gao, Ge, Fan, Hongguang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Case Series
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8599057/
https://www.ncbi.nlm.nih.gov/pubmed/34804486
http://dx.doi.org/10.1093/jscr/rjab503
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author Chen, Fengjie
Gao, Jin
Song, Chen
Wang, Zhiwei
Xiong, Hui
Ding, Ligang
Gao, Ge
Fan, Hongguang
author_facet Chen, Fengjie
Gao, Jin
Song, Chen
Wang, Zhiwei
Xiong, Hui
Ding, Ligang
Gao, Ge
Fan, Hongguang
author_sort Chen, Fengjie
collection PubMed
description The treatment of atrial flutter (AFL) in patients without structural heart disease (SHD) by transcatheter radiofrequency ablation of the cavotricuspid isthmus (CTI) and bilateral pulmonary veins has achieved good results. We report three cases of typical AFL treated by surgical radiofrequency ablation. One patient, without SHD, successfully underwent CTI ablation and cardioversion. The other two patients, with SHD, underwent CTI ablation, partial right atrial ablation and pulmonary vein isolation, but a normal sinus rhythm was not achieved. Therefore, standard maze IV surgery may be the best choice in patients with AFL and SHD.
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spelling pubmed-85990572021-11-18 Surgical radiofrequency ablation of atrial flutter: which operation should we choose? Chen, Fengjie Gao, Jin Song, Chen Wang, Zhiwei Xiong, Hui Ding, Ligang Gao, Ge Fan, Hongguang J Surg Case Rep Case Series The treatment of atrial flutter (AFL) in patients without structural heart disease (SHD) by transcatheter radiofrequency ablation of the cavotricuspid isthmus (CTI) and bilateral pulmonary veins has achieved good results. We report three cases of typical AFL treated by surgical radiofrequency ablation. One patient, without SHD, successfully underwent CTI ablation and cardioversion. The other two patients, with SHD, underwent CTI ablation, partial right atrial ablation and pulmonary vein isolation, but a normal sinus rhythm was not achieved. Therefore, standard maze IV surgery may be the best choice in patients with AFL and SHD. Oxford University Press 2021-11-11 /pmc/articles/PMC8599057/ /pubmed/34804486 http://dx.doi.org/10.1093/jscr/rjab503 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Series
Chen, Fengjie
Gao, Jin
Song, Chen
Wang, Zhiwei
Xiong, Hui
Ding, Ligang
Gao, Ge
Fan, Hongguang
Surgical radiofrequency ablation of atrial flutter: which operation should we choose?
title Surgical radiofrequency ablation of atrial flutter: which operation should we choose?
title_full Surgical radiofrequency ablation of atrial flutter: which operation should we choose?
title_fullStr Surgical radiofrequency ablation of atrial flutter: which operation should we choose?
title_full_unstemmed Surgical radiofrequency ablation of atrial flutter: which operation should we choose?
title_short Surgical radiofrequency ablation of atrial flutter: which operation should we choose?
title_sort surgical radiofrequency ablation of atrial flutter: which operation should we choose?
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8599057/
https://www.ncbi.nlm.nih.gov/pubmed/34804486
http://dx.doi.org/10.1093/jscr/rjab503
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