Successive surgical treatment of atrial flutter in patient with Wolf-Parkinson-White syndrome

• Dolginina S.I.
• Soldatkina I.P.
• Lapshina N.V.

AbstractTwo clinical examples of the rare form of the combination of Wolff-Parkinson-White (WPW) syndrome and atrial flutter are presented. Patients with previously diagnosed WPW syndrome delayed surgical treatment for a long time, due to rare and short arrhythmia paroxysms. The first threatened condition requiring hospitalization was a loss of consciousness and ECG recording by an ambulance brigade, an ECG paroxysmal tachycardia with wide QRS complexes. Complex clinical diagnosis, did not allow timely diagnosis and conduct correct treatment. The correct diagnosis was established after the PE emergency in the conditions of a specialized medical institution, after which the RFA of the AAVJ was performed. A review of the literature on atrial flutter and syndrome WPW, their rare combination, and the complexity of the diagnosis of stable paroxysm of the correct form of atrial flutter with 2:1 and active AAVJ is presented.

Keywords:atrial flutter, Wolf-Parkinson-White syndrome

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