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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, Vol. 31, No. 3, 03.2008, p. 382-385.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Steven, D, Rostock, T, Lutomsky, B & Willems, S 2008, 'Three-dimensional mapping of atypical right atrial flutter late after chest stabbing', PACE, vol. 31, no. 3, pp. 382-385. https://doi.org/10.1111/j.1540-8159.2008.01002.x

APA

Steven, D., Rostock, T., Lutomsky, B., & Willems, S. (2008). Three-dimensional mapping of atypical right atrial flutter late after chest stabbing. PACE, 31(3), 382-385. https://doi.org/10.1111/j.1540-8159.2008.01002.x

Vancouver

Steven D, Rostock T, Lutomsky B, Willems S. Three-dimensional mapping of atypical right atrial flutter late after chest stabbing. PACE. 2008 Mar;31(3):382-385. https://doi.org/10.1111/j.1540-8159.2008.01002.x

Bibtex

@article{83971a9f062f4aff838f6f37910d6af9,
title = "Three-dimensional mapping of atypical right atrial flutter late after chest stabbing",
abstract = "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.",
keywords = "Adult, Atrial Flutter/diagnosis, Body Surface Potential Mapping/methods, Female, Humans, Imaging, Three-Dimensional/methods, Thoracic Injuries/complications, Wounds, Stab/complications",
author = "Daniel Steven and Thomas Rostock and Boris Lutomsky and Stephan Willems",
year = "2008",
month = mar,
doi = "10.1111/j.1540-8159.2008.01002.x",
language = "English",
volume = "31",
pages = "382--385",
journal = "PACE",
issn = "0147-8389",
publisher = "Wiley-Blackwell",
number = "3",

}

RIS

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 -