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We experienced a rare case of atrial flutter originating from the giant left appendage (LAA). The local potential of the ablation catheter presented with a rare finding, appearing up to 185 ms earlier than the surface P-wave in the distal LAA. With thoracoscopic LAA clipping, tachycardia was successfully controlled.

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A Giant Left Atrial Appendage Aneurysm With Incessant Atrial Tachycardia.

J Cardiovasc Electrophysiol

December 2024

Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.

Introduction: Left atrial appendage aneurysm (LAAA) is a rare congenital cardiac anomaly that involves the progressive dilatation of the left atrial appendage (LAA), predisposing the patient to serious complications such as atrial tachyarrhythmias, life-threatening systemic thromboembolism, and cardiac dysfunction.

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