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A 45-year-old male patient underwent a re-redo ablation due to recurrent left atrial (LA) flutter after pulmonary vein isolation and mitral isthmus ablation at first redo. After confirming recurrent perimitral flutter, closing of the gap at the ventricular side of the mitral isthmus line by radiofrequency ablation (48°C, 40 W, 60 s) ( Panel A , …

A late acquired ‘black hole’ after ablation-induced damage to the circumflex artery