Three-Dimensional (3D) Mapping and Catheter Ablation for Simultaneous Reverse Typical and Atypical Atrial Flutter: A Case Report.
| Autor: | El Ouartassi H; Cardiology, Ibn Sina University Hospital Center, Rabat, MAR., El Boussaadani B; Cardiology, Centre Hospitalier Universitaire (CHU) Mohammed VI - Tanger, Tanger, MAR., Faraj R; Cardiology, Ibn Sina University Hospital Center, Rabat, MAR.; Cardiology, Mohammed V University, Rabat, MAR., Fellat I; Cardiology, Ibn Sina University Hospital Center, Rabat, MAR.; Cardiology, Mohammed V University, Rabat, MAR., Cherti M; Cardiology, Mohamed V University, Rabat, MAR.; Cardiology, Ibn Sina University Hospital Center, Rabat, MAR. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Nov 17; Vol. 15 (11), pp. e48948. Date of Electronic Publication: 2023 Nov 17 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.48948 |
| Abstrakt: | Atrial flutter, a common cardiac arrhythmia, is characterized by rapid and regular atrial contractions that result in a characteristic sawtooth pattern on the electrocardiogram. It emerges due to the formation of reentrant electrical circuits within the atria, giving rise to structured, sawtooth-patterned atrial waves as observed on electrocardiography. We present the case of a 52-year-old female with a medical history of ankylosing spondylitis, dyslipidemia, and a previous surgical closure of an atrial septal defect. The patient developed a rare form of atrial flutter, characterized by two distinct mechanisms: a clockwise isthmus-dependent flutter and an atypical scar-related flutter around the atriotomy scar. In order to effectively address this complex condition, a successful ablation procedure was performed to target both mechanisms. This case report offers valuable insights into the complexities surrounding the diagnosis and treatment of a complex case characterized by the coexistence of multiple mechanisms of atrial flutter within a single patient. While catheter ablation has demonstrated improved success rates for typical and atypical atrial flutters when occurring in isolation, predicting the prognosis of complex cases continues to pose challenges. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, El Ouartassi et al.) |
| Databáze: | MEDLINE |
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