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Surgical radiofrequency ablation of atrial flutter: which operation should we choose?
  • +5
  • Fengjie Chen,
  • Jin Gao,
  • Chen Song,
  • Zhiwei Wang,
  • Hui Xiong,
  • Ligang Ding,
  • Ge Gao,
  • hongguang fan
Fengjie Chen
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Zhiwei Wang
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Ligang Ding
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hongguang fan

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Abstract

The treatment of atrial flutter in patients without structural heart disease by transcatheter radiofrequency ablation of the cavotricuspid isthmus and bilateral pulmonary veins has achieved good results. We report three cases of typical atrial flutter treated by surgical radiofrequency ablation. One patient, without structural heart disease, successfully underwent cavotricuspid isthmus ablation and cardioversion. The other two patients, with structural heart disease, underwent cavotricuspid isthmus 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 atrial flutter and structural heart disease.