Seven Years' Outcome of Simultaneous Surgical Treatment of Atrial Septal Defect and Atrial Flutter in 2 Children: Case Reports

  • Valquiria Pelisser Campagnucci
  • Ana Maria Rocha Pinto
  • Argemiro Scatolini Neto
  • Liane Huile Catani
  • Maria Lucia Bastos Passarelli
  • Sylvio Matheus Aquino Gandra
  • Luiz Antonio Rivetti


We describe 2 children who had long-standing type 1 atrial flutter and atrial septal defect. The simultaneous surgical treatment of these 2 conditions consisted of transmural incision from the inferior edge of the septal defect to the tricuspid ring, transmural incision from the medial-superior edge of the septal defect to the tricuspid ring, and closure of the septal defect with a bovine pericardial patch. There was no arrhythmia recurrence during a 7-year follow-up period.


Cauchemez B, Haissaguerre M, Fischer B, Thomas O, Clementy J, Coumel P. 1996. Electrophysiological effects of catheter ablation of inferior vena cava-tricuspid annulus isthmus in common atrial flutter. Circulation 93:284-94.\nChan DP, Van Hare GF, Mackall JA, Carlson MD, Waldo AL. 2000. Importance of atrial flutter isthmus in postoperative intra-atrial reentrant tachycardia. Circulation 102:1283-9.\nCosio FG, Arribas F, Lopez-Gil M, Gonzalez HD. 1996. Radiofrequency ablation of atrial flutter. J Cardiovasc Electrophysiol 7:60-70.\nDoniger SJ, Sharieff GQ. 2006. Pediatric dysrhythmias. Pediatr Clin North Am 53:85-105, vi.\nDunnigan A, Benson W Jr, Benditt DG. 1985. Atrial flutter in infancy: diagnosis, clinical features, and treatment. Pediatrics 75:725-9.\nFeld GK, Birgersdottir-Green U, Mollerus ME. 2000. Radiofrequency catheter ablation for the treatment of type 1 counterclockwise and clockwise atrial flutter. In: Huang SKS, Wilber DJ, eds. Radiofrequency catheter ablation of cardiac arrhythmias: basic concepts and clinical applications. 2nd ed. Armonk, NY: Futura Publishing Company. p 209-32.\nGarson A Jr, Bink-Boelkens M, Hesslein PS, et al. 1985. Atrial flutter in the young: a collaborative study of 380 Cases. J Am Coll Cardiol 6:871-8.\nGuiraudon GM, Klein GJ, van Hemel N, et al. 1996. Atrial flutter: lessons from surgical interventions (musing on atrial flutter mechanism). Pacing Clin Electrophysiol 19:1933-8.\nHenglein D, Cauchemez B, Bloch G. 1999. Simultaneous surgical treatment of atrial septal defect and atrial flutter using a simple modification of the atrial incision. Cardiol Young 9:197-9.\nJohn B, George OK, Joseph G, Lokhandwala YY. 2007. Incessant atrial flutter after device closure of atrial septal defect: successful radio frequency ablation. Indian Pediatr 44:700-2.\nMandapati R, Walsh EP, Triedman JK. 2003. Pericaval and periannular intra-atrial reentrant tachycardias in patients with congenital heart disease. J Cardiovasc Electrophysiol 14:119-25.\nOlgin JE, Kalman JM, Lesh MD. 1996. Conduction barriers in human atrial flutter: correlation of electrophysiology and anatomy. J Cardiovasc Electrophysiol 7:1112-26.\nTheodoro DA, Danielson GK, Porter CJ, Warnes CA. 1998. Right-sided maze procedure for right atrial arrhythmias in congenital heart disease. Ann Thorac Surg 65:149-53.\nYamauchi S, Imura H, Bessho R, Yamada K, Tanaka S. 1997. Simultaneous surgical correction of common atrium and impure flutter. Ann Thorac Surg 64:548-52.\n
How to Cite
Campagnucci, V., Rocha Pinto, A., Neto, A., Catani, L., Passarelli, M., Gandra, S., & Rivetti, L. (2010). Seven Years’ Outcome of Simultaneous Surgical Treatment of Atrial Septal Defect and Atrial Flutter in 2 Children: Case Reports. The Heart Surgery Forum, 13(2), E105-E107.