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Persistent Atrial Flutter Treated by Coronary Sinus Ablation in Persistent Left Superior Vena Cava
Journal article   Open access   Peer reviewed

Persistent Atrial Flutter Treated by Coronary Sinus Ablation in Persistent Left Superior Vena Cava

Andrea Giuseppe Porto and Sergio Conti
Clinical case reports, Vol.13(7), e70656
07/2025
DOI: 10.1002/ccr3.70656
PMCID: PMC12283421
PMID: 40703503
url
https://doi.org/10.1002/ccr3.70656View
Published (Version of record) Open Access

Abstract

Ablation of atypical atrial flutter may be challenging, particularly when a complex substrate is present. The persistence of left superior vena cava and severe coronary sinus dilatation carries an arrhythmogenic potential. In this case of atrial flutter, extensive substrate and activation mapping revealed the critical substrate within the coronary sinus.
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