Successful rhythm control with electric cardioversion and cryoablation led to reverse right atrial remodeling and resolution of torrential tricuspid regurgitation in a 79-year-old female.
Case Report (n=1)
No
Does rhythm control improve torrential tricuspid regurgitation and right atrial remodeling in a patient with new-onset persistent atrial fibrillation?
This case highlights that rapid right atrial adverse remodeling and torrential tricuspid regurgitation due to new-onset persistent atrial fibrillation can be fully reversed with early and successful rhythm control.
In patients with persistent atrial fibrillation, adverse atrial remodeling may induce annular enlargement causing severe mitral- or tricuspid valve regurgitation and heart failure symptoms. Herein, we describe a case of rapidly progressive right atrial (RA) adverse remodeling due to new onset persistent AF, causing tricuspid annular dilatation and torrential tricuspid regurgitation (TR) in a 79-year-old female patient. This condition could be diagnosed by echocardiography, which helped guiding further patient management. After successful electric cardioversion, reverse RA remodeling took place, resulting in resolution of RA enlargement, TR and clinical symptoms within a few weeks. To maintain sinus rhythm, the patient underwent cryoablation and her further clinical course was uneventful.
Korosoglou et al. (Fri,) conducted a case report in Atrial fibrillation and torrential tricuspid regurgitation (n=1). Rhythm control (electric cardioversion and pulmonary vein cryoablation) was evaluated on Resolution of right atrial enlargement, tricuspid regurgitation, and clinical symptoms. Successful rhythm control with electric cardioversion and cryoablation led to reverse right atrial remodeling and resolution of torrential tricuspid regurgitation in a 79-year-old female.