Atrial macroreentry involving the myocardium of the coronary sinus: A unique mechanism for atypical flutter

被引：95

作者：

Olgin, JE ^{[1
]}

Jayachandran, JV ^{[1
]}

Engesstein, E ^{[1
]}

Groh, W ^{[1
]}

Zipes, DP ^{[1
]}

Zipes, P ^{[1
]}

机构：

[1] Indiana Univ, Sch Med, Krannert Inst Cardiol, Indianapolis, IN 46202 USA

来源：

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY | 1998年 / 9卷 / 10期

关键词：

atrial flutter; atrial tachycardia; ablation; coronary sinus; tachycardia; atrium;

D O I：

10.1111/j.1540-8167.1998.tb00886.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Atrial flutter involving either clockwise or counterclocknise rotation around the tricuspid annulus utilizing the subeustachian isthmus has been well described. However, macroreentrant atrial circuits in atypical atrial flutter in patients who have not undergone previous surgery or without atrial disease are not well defined. We describe a patient without structural heart disease who presented with an atrial macroreentrant rhythm. Entrainment mapping demonstrated a critical isthmus within the coronary sinus. Activation mapping demonstrated double potential throughout the length of the coronary sinus with disparate activation sequences. A circuit involving the myocardium of the coronary sinus, exiting in the lateral left atrium, down the interatrial septum, and reentering into the coronary sinus was identified. Successful ablation of the rhythm was accomplished by a circumferential radiofrequency application within the coronary sinus.

引用

页码：1094 / 1099

页数：6

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