Surgical radiofrequency ablation of atrial flutter: which operation
should we choose？
AbstractThe 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.