Change in morphology of reentrant atrial arrhythmias without termination following radiofrequency catheter ablation

Pacing Clin Electrophysiol. 2002 Jan;25(1):109-11. doi: 10.1046/j.1460-9592.2002.00109.x.

Abstract

A 60-year-old woman who had previously undergone an atrial septal defect repair and had type I atrial flutter underwent electrophysiological study. After radiofrequency (RF) ablation to the isthmus between the inferior vena cava and the tricuspid annulus, type I atrial flutter was changed to atrial tachycardia following atriotomy without termination. This atrial tachycardia was eliminated by single-site RF ablation of a small lesion below the caudal end of the atriotomy scar, where continuous and fragmented potentials were recorded during tachycardia. We experienced a rare case in which RF energy changed tachycardia circuits.

Publication types

  • Case Reports

MeSH terms

  • Atrial Flutter / physiopathology
  • Atrial Flutter / surgery*
  • Catheter Ablation / adverse effects*
  • Electrophysiologic Techniques, Cardiac
  • Female
  • Humans
  • Middle Aged
  • Tachycardia, Ectopic Atrial / etiology*
  • Tachycardia, Ectopic Atrial / physiopathology
  • Tachycardia, Ectopic Atrial / surgery*