loading page

Atrial Tachycardia with Multiple Reconductions Across the Surgical Incision
  • +4
  • Takayuki Nagai,
  • Hiroshi Kawakami,
  • Yasuhiro Sasaki,
  • Akira Fujii,
  • Katsuji Inoue,
  • Shuntaro Ikeda,
  • Osamu Yamaguchi
Takayuki Nagai
Ehime University Graduate School of Medicine
Author Profile
Hiroshi Kawakami
Ehime University Graduate School of Medicine
Author Profile
Yasuhiro Sasaki
Ehime University Graduate School of Medicine
Author Profile
Akira Fujii
Ehime University Graduate School of Medicine
Author Profile
Katsuji Inoue
Ehime University Graduate School of Medicine
Author Profile
Shuntaro Ikeda
Ehime University Graduate School of Medicine
Author Profile
Osamu Yamaguchi
Ehime University Graduate School of Medicine
Author Profile

Abstract

Incisional atrial tachycardia (AT) with multiple penetrating points on one surgical incision has not been reported. We present a case of incisional AT following mitral annuloplasty with a superior transseptal approach, in which two reconduction sites were part of the reentrant circuit. Radiofrequency ablation at the reconduction site successfully terminated the tachycardia. A total of four penetrating points were found on the incision line, and radiofrequency ablation at these sites was completed. Detailed mapping with consideration of possible reconduction sites along the incision line should be performed to avoid further instances of AT following open heart surgery.

Peer review status:Published

27 May 2020Submitted to Journal of Cardiovascular Electrophysiology
27 May 2020Submission Checks Completed
27 May 2020Assigned to Editor
29 May 2020Reviewer(s) Assigned
16 Jun 2020Review(s) Completed, Editorial Evaluation Pending
16 Jun 2020Editorial Decision: Revise Minor
16 Jul 20201st Revision Received
16 Jul 2020Submission Checks Completed
16 Jul 2020Assigned to Editor
16 Jul 2020Reviewer(s) Assigned
17 Jul 2020Review(s) Completed, Editorial Evaluation Pending
20 Jul 2020Editorial Decision: Accept
Aug 2020Published in Journal of Cardiovascular Electrophysiology. 10.1111/jce.14690