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Ann Thorac Surg 1992;53:648-649
© 1992 The Society of Thoracic Surgeons

Articles

Salvage transvenous rapid atrial pacing to terminate atrial flutter after cardiac operations

Bram J. Amsel, MD*, Paul J. Walter, MD

Department of Cardiac Surgery, University Hospital of Antwerp, Antwerp-Edegem, Belgium

Accepted for publication September 17, 1991.

* Address reprint requests to Dr Amsel, Department of Cardiac Surgery, University Hospital of Antwerp, Wilrijkstraat 10, B-2650 Antwerp-Edegem, Belgium.

Atrial flutter occurring after cardiac operations normally responds well to atrial overdrive pacing through epicardial atrial pacing wires and medication. When this fails, transvenous atrial overpacing offers an attractive alternative. We performed the procedure 29 times in 25 patients. Sinus rhythm returned acutely after 25 procedures in 21 patients and persisted with medication in 20 patients at follow-up. The procedure was well tolerated by all.






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