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Atrial flutter in a Tetralogy of Fallot operated patient: importance of a rapid and curative treatment


A 51 male, affected by Tetralogy of Fallot, underwent a left Blalock-Taussig anastomosis at the age of two years and an aorto - right pulmonary artery tube graft when 8 years old. Complete surgical correction was performed at age 21 with closure of the ventricular septal defect and a large patch over the right outflow tract, shunts were discontinued. Then it was well up to 51 years old when he began to suffer shortness of breath with minimal exertion. A typical atrial flutter of the common type was diagnosed and a cavo-tricuspid isthmus ablation was successfully performed. Echocardiographic and magnetic resonance imaging and ergospirometry provided complete informations on anatomic and hemodynamic conditions but no other interventional procedure was necessary.

Credits: Alberto Cresti; Francesco De Sensi; Gennaro Miracapillo; Ait-Ali Lamia; Pierluigi Festa.



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