A 60-year-old male with a history of prior ablation of typical cavotricuspid isthmus-dependent atrial flutter presented to us with recurrent palpitations. The surface 12-lead EKG was consistent with atrial tachycardia, for which an ablation was planned. The patient was found to have multiple marcroreentrant left atrial tachycardias utilizing areas of scar as substrate. Isthmuses of tissue with fractionated electrograms associated with scar were targeted for ablation.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956366PMC
http://dx.doi.org/10.4022/jafib.1233DOI Listing

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