![]() ![]() Typical atrial flutter is a well-understood arrhythmia resulting from a right atrial macro-reentrant circuit. In this small cohort, early postoperative ablation of typical flutter was associated with a favorable short- and long-term safety and efficacy profile and can be considered part of heart rhythm management options in this setting. Two patients (4.2%) had developed atrial fibrillation, while 87.2% of patients were in sinus rhythm. One patient (2.1%) had undergone repeat ablation for typical flutter. After a median follow-up of 5.7 years, follow-up information regarding heart rhythm was available in 87.2% of patients. Acute procedural success could be achieved in 100% of patients with one vascular pseudoaneurysm that was managed conservatively. The predominant conduction of atrial flutter was 2:1 (76.6%) 85.1% of patients had either undergone CABG, SAVR, or a combination of these two. The median age of patients was 69 years, 89% male and with a median LV-EF of 55%. Follow-up data were acquired from patients’ records in case of rehospitalization and via follow-up calls. Methodsīetween 20, 47 patients who underwent ablation for postoperative typical atrial flutter were retrospectively identified and analyzed. We aimed to investigate the safety and efficacy (profile) of flutter ablation in the early postoperative phase (30 days after cardiac surgery) in a cohort of 47 consecutive patients. Available data on management of atrial flutter in the early postoperative setting after cardiac surgery are scarce. ![]()
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