Chen Fengjie, Gao Jin, Song Chen, Wang Zhiwei, Xiong Hui, Ding Ligang, Gao Ge, Fan Hongguang
Department of Cardiovascular Surgery, Fuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, China.
Department of Cardiovascular Surgery, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
J Surg Case Rep. 2021 Nov 11;2021(11):rjab503. doi: 10.1093/jscr/rjab503. eCollection 2021 Nov.
The treatment of atrial flutter (AFL) in patients without structural heart disease (SHD) by transcatheter radiofrequency ablation of the cavotricuspid isthmus (CTI) and bilateral pulmonary veins has achieved good results. We report three cases of typical AFL treated by surgical radiofrequency ablation. One patient, without SHD, successfully underwent CTI ablation and cardioversion. The other two patients, with SHD, underwent CTI ablation, partial right atrial ablation and pulmonary vein isolation, but a normal sinus rhythm was not achieved. Therefore, standard maze IV surgery may be the best choice in patients with AFL and SHD.
通过经导管射频消融三尖瓣峡部（CTI）和双侧肺静脉来治疗无结构性心脏病（SHD）患者的心房扑动（AFL）已取得良好效果。我们报告了3例通过外科射频消融治疗的典型AFL病例。1例无SHD的患者成功接受了CTI消融和心脏复律。另外2例有SHD的患者接受了CTI消融、部分右心房消融和肺静脉隔离，但未实现正常窦性心律。因此，标准迷宫IV手术可能是AFL合并SHD患者的最佳选择。
