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January 23, 2026JACC Case Reports0 citationsOpen Access

Ablation for Complex Atrial Flutter After Surgical Valve Replacement

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YWYu WangSHSongqun HuangXHxinmiao huang

Key Result

High-density mapping tools effectively delineate macro-re-entrant circuits in patients with atrial tachycardias post cardiac valve surgery.

Key Points

  • To investigate the occurrence of macro-re-entrant atrial tachycardias following cardiac valve surgery and the effectiveness of ablation.
  • Examined patients with atrial flutter after valve replacement surgery.
  • Utilized high-density mapping tools to identify re-entrant circuits.
  • Assessed the types and prevalence of tachycardias post-surgery.
  • Identified a significant proportion of patients experiencing macro-re-entrant atrial tachycardias after surgery.
  • High-density mapping successfully delineated complex re-entrant circuits.
  • Ablation showed promise in effectively targeting these abnormal heart rhythms.

Structured PICO

P
Population
Patients with macro-re-entrant atrial tachycardias (complex atrial flutter) after cardiac valve surgery
I
Intervention
Ablation guided by high-density mapping tools

High-density mapping tools can effectively delineate re-entrant circuits in complex atrial flutter following cardiac valve surgery.

Abstract

Macro-re-entrant atrial tachycardias can occur in a considerable proportion of patients after cardiac valve surgery. High-density mapping tools can clearly delineate the re-entrant circuit and its potential substrate.

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Cite This Study

Wang et al. (2026) studied this question. High-density mapping tools effectively delineate macro-re-entrant circuits in patients with atrial tachycardias post cardiac valve surgery.

synapsesocial.com/papers/697310b0c8125b09b0d205d7https://doi.org/10.1016/j.jaccas.2025.106734
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