Key result
PBMV linked to atrial flutter resolution in a rheumatic MS patient with an accessory pathway.
Case Report (n=1)
No
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In a rare case of rheumatic mitral stenosis coexisting with a right posterior septal accessory pathway and atrial flutter, balloon mitral valvotomy and medical therapy alone led to symptom resolution without the need for ablation.
A 57-year-old man presented with recurrent palpitations. He was diagnosed with rheumatic mitral stenosis, right posterior septal accessory pathway and atrial flutter. An electrophysiological study after percutaneous balloon mitral valvotomy showed that the palpitations were due to atrial flutter with right bundle branch aberrancy. The right posterior septal pathway was a bystander because it had higher refractory period than atrioventricular node.
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Singh et al. (2022) conducted a case report in Rheumatic mitral stenosis, right posterior septal accessory pathway, and atrial flutter (n=1). Percutaneous balloon mitral valvotomy was evaluated on Symptom resolution. Percutaneous balloon mitral valvotomy resulted in almost complete resolution of atrial flutter and asymptomatic status at 15 months in a patient with rheumatic mitral stenosis and an accessory pathway.
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