Three-dimensional mapping of atypical right atrial flutter late after chest stabbing
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Three-dimensional mapping of atypical right atrial flutter late after chest stabbing. / Steven, Daniel; Rostock, Thomas; Lutomsky, Boris; Willems, Stephan.
in: PACE, Jahrgang 31, Nr. 3, 03.2008, S. 382-385.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Three-dimensional mapping of atypical right atrial flutter late after chest stabbing
AU - Steven, Daniel
AU - Rostock, Thomas
AU - Lutomsky, Boris
AU - Willems, Stephan
PY - 2008/3
Y1 - 2008/3
N2 - We present the case of a female patient who previously underwent cardiac surgery for traumatic anterior right atrial perforation after a stabbing attack. Four years later the patient presented with right atrial common type flutter and isthmus ablation was performed subsequently. However, three years after isthmus ablation the patient was readmitted with atypical right atrial flutter. Electrophysiological study revealed persistent bidirectional isthmus block. Three-dimensional mapping (NavX, St. Jude Medical, St. Paul, MN, USA) demonstrated an incisional tachycardia with the critical isthmus at the border of the anterior area of scar in a close proximity to the superior tricuspid annulus. After ablation of this isthmus the patient was arrhythmia free after a follow-up of 9 months. This case illustrates that three-dimensional scar mapping may help to identify unusual isthmus sites that may be simultaneously responsible for both typical and atypical atrial flutter.
AB - We present the case of a female patient who previously underwent cardiac surgery for traumatic anterior right atrial perforation after a stabbing attack. Four years later the patient presented with right atrial common type flutter and isthmus ablation was performed subsequently. However, three years after isthmus ablation the patient was readmitted with atypical right atrial flutter. Electrophysiological study revealed persistent bidirectional isthmus block. Three-dimensional mapping (NavX, St. Jude Medical, St. Paul, MN, USA) demonstrated an incisional tachycardia with the critical isthmus at the border of the anterior area of scar in a close proximity to the superior tricuspid annulus. After ablation of this isthmus the patient was arrhythmia free after a follow-up of 9 months. This case illustrates that three-dimensional scar mapping may help to identify unusual isthmus sites that may be simultaneously responsible for both typical and atypical atrial flutter.
KW - Adult
KW - Atrial Flutter/diagnosis
KW - Body Surface Potential Mapping/methods
KW - Female
KW - Humans
KW - Imaging, Three-Dimensional/methods
KW - Thoracic Injuries/complications
KW - Wounds, Stab/complications
U2 - 10.1111/j.1540-8159.2008.01002.x
DO - 10.1111/j.1540-8159.2008.01002.x
M3 - SCORING: Journal article
C2 - 18307637
VL - 31
SP - 382
EP - 385
JO - PACE
JF - PACE
SN - 0147-8389
IS - 3
ER -