AI Article Synopsis

  • - A case study highlights a rare type of atrial flutter called single-loop biatrial flutter, which can happen during ablation procedures in the left atrium.
  • - The flutter began in the right atrium and transitioned to a biatrial flutter as specific areas were ablated, indicating complex interaction between the heart's electrical pathways.
  • - Successful treatment involved additional ablation between certain pulmonary veins, suggesting that careful mapping and monitoring are crucial when dealing with atypical atrial flutters.

Article Abstract

A single-loop biatrial flutter is an uncommon form of atypical atrial flutter, and it can occur with septal or anterior line ablation in the left atrium (LA). We report a case with a roof-dependent atrial flutter that changed into a single-loop biatrial flutter during roof-line ablation. The activation entered the right atrium (RA) at the septum/fossa ovalis and coronary sinus ostium, exited the RA likely via the Bachmann's bundle and/or septopulmonary bundle, and entered the LA posterior to the roof line. The biatrial flutter was terminated with linear ablation between the right and left inferior pulmonary veins. RA mapping and biatrial flutter should be considered if roof-dependent atrial flutter slowed down during the roof-line ablation without termination.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8930011PMC
http://dx.doi.org/10.19102/icrm.2022.130306DOI Listing

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