Key result
Radiofrequency ablation safely terminated atypical atrial flutter that developed early after cardiac surgery and was refractory to conservative measures.
Why the study?
Atrial tachyarrhythmias are common and typically self-limiting after cardiac procedures, but management can be challenging when conservative measures fail early after surgery.
Does radiofrequency ablation safely terminate atypical atrial flutter early after cardiac surgery?
Case Report (n=1)
Does radiofrequency ablation safely terminate atypical atrial flutter early after cardiac surgery?
Radiofrequency ablation can safely terminate atypical atrial flutter in the early post-operative period after cardiac surgery when conservative measures fail.
May support early RFA for refractory post-surgical atypical flutter; leaves open need for prospective trials.
Atrial tachyarrhythmias are relatively common but mostly self-limiting complications after cardiac procedures. We report a case of atypical atrial flutter which developed early after surgery for severe mitral regurgitation and patent foramen ovale. The arrhythmia could not be managed by conservative measures and compromised the patient's recovery. The atypical atrial flutter was safely terminated by radiofrequency ablation despite the early post-operative period.
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Maciejewski et al. (2019) conducted a case report in Atypical atrial flutter (n=1). Radiofrequency ablation was evaluated on Termination of arrhythmia. Radiofrequency ablation safely terminated atypical atrial flutter that developed early after cardiac surgery and was refractory to conservative measures.
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