Changing coronary sinus activation during catheter ablation of isthmus-dependent right atrial flutter: what is the mechanism?

Europace. 2012 Jun;14(6):912-4. doi: 10.1093/europace/eur397. Epub 2012 Feb 2.

Abstract

A 69-year-old woman was referred for cavotricuspid isthmus ablation due to typical isthmus-dependent right atrial flutter. During ablation, intracardiac activation sequence in coronary sinus (CS) changed without altering the cycle length or the P-wave morphology. This suggests that interatrial connection via CS was blocked and left atrium (LA) was activated from Bachmann's bundle or/and connections between fossa ovalis and LA.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Atrial Flutter / diagnosis
  • Atrial Flutter / physiopathology*
  • Atrial Flutter / surgery*
  • Catheter Ablation*
  • Coronary Sinus / diagnostic imaging
  • Coronary Sinus / physiology*
  • Electrocardiography
  • Female
  • Fluoroscopy
  • Heart Atria / physiopathology
  • Heart Atria / surgery
  • Heart Septum / physiopathology
  • Heart Septum / surgery
  • Humans