Year: 2022
Type: article
Abstract: Key Teaching Points•Electrophysiologists should be cognizant of the potential for macroreentrant atrial flutter to originate from the interatrial septum after mechanical trauma such as repeated transseptal access.•An increase in the global volume of invasive procedures requiring transseptal access, such as left atrial endocardial ablation, left atrial appendage occluder device placement, transcatheter mitral valve repair, and mechanical circulatory support with TandemHeart, as well as the burden of atrial myopathy may lead to an increased prevalence and recognition of septal flutter.•Ablation for septal flutter can be effectively performed by anchoring between the right upper pulmonary vein and the septal point of block on the left atrium or between the inferior vena cava and superior vena cava on the right atrial aspect. •Electrophysiologists should be cognizant of the potential for macroreentrant atrial flutter to originate from the interatrial septum after mechanical trauma such as repeated transseptal access.•An increase in the global volume of invasive procedures requiring transseptal access, such as left atrial endocardial ablation, left atrial appendage occluder device placement, transcatheter mitral valve repair, and mechanical circulatory support with TandemHeart, as well as the burden of atrial myopathy may lead to an increased prevalence and recognition of septal flutter.•Ablation for septal flutter can be effectively performed by anchoring between the right upper pulmonary vein and the septal point of block on the left atrium or between the inferior vena cava and superior vena cava on the right atrial aspect.
Source: HeartRhythm Case Reports
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,050
OpenAlex ID: W4210572547