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Ann Thorac Surg 1997;64:548-552
© 1997 The Society of Thoracic Surgeons

Case Reports

Simultaneous Surgical Correction of a Common Atrium and Impure Flutter

Shigeo Yamauchi, MD, Hajime Imura, MD, Ryuzo Bessho, MD, Kenichi Yamada, MD, Shigeo Tanaka, MD

Second Department of Surgery, Nippon Medical School, Tokyo, Japan

Accepted for publication March 25, 1997.

We performed surgical correction and treatment of a common atrium and chronic impure flutter using a computerized mapping system in a 49-year-old man. A reentrant circuit was observed to exist around the left atrial appendage. In contrast to the regular activation in the left atrium, the activation sequence of the right atrium was extremely chaotic. Cryolesions were applied to the area of the reentrant pathway. After the operation, sinus rhythm was restored.




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