Right-sided Atrial Flutter Ablation after Tricuspid Valve-in-Valve Replacement

Abstract

A 49-year-old patient presented to the outpatient clinic with palpitations, dizziness and exercise intolerance for about two months and was found to be in atrial flutter (fig. 1A). Recurrent flutter episodes were known for several years requiring repeated direct current cardioversions in the past as well as intermittent amiodarone treatment. His past medical history included bioprosthetic tricuspid valve (TV) replacement (Shelhigh 33mm) for severe tricuspid regurgitation due