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Ablation of Atrial Flutter in a Patient with a Tricuspid Valve Replacement after Endocarditis
Author(s) -
NORDBECK PETER,
BAUER WOLFGANG R.,
RITTER OLIVER
Publication year - 2009
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2009.02471.x
Subject(s) - medicine , atrial flutter , cardiology , ablation , tricuspid valve , atrial tachycardia , catheter ablation , sinus rhythm , atrial fibrillation , surgery
Myocardial scars from heart surgery are a source of tachycardia, eventually causing late morbidity and sudden death. In general, catheter ablation has been shown to be an effective therapy for various rhythm disorders, but it has been rarely described after atrioventricular valve replacement. We report on a 45‐year‐old man who developed atrial flutter after implantation of a tricuspid valve bioprosthesis. An electrophysiological investigation revealed typical type‐I counterclockwise atrial flutter that was successfully terminated by catheter ablation. A sinus rhythm was restored and remained stable during the course of treatment; the valvular function was not diminished. It is demonstrated that safe mapping and ablation of typical atrial flutter is possible after a tricuspid valve replacement.