title: Initial description of radiofrequency catheter ablation as treatment for atrial flutter in Marfan's syndrome: a case report and literature review.
abstract: Marfan's syndrome is a common connective tissue disease with different musculoskeletal, ophthalmic and cardiac manifestations. Marfan's patients carry increased risk for cardiac arrhythmias. Only three cases of atrial flutter in Marfan's patients are described in the literature. We report a fourth case of a young Marfan's patient who presents with typical atrial flutter after motor vehicle accident. After electrical cardioversion, sinus rhythm was restored but he had recurrent atrial flutter on follow up. The patient then underwent electrophysiological study and successful radiofrequency catheter ablation of the flutter circuit. Since discharge, the patient has had no documented arrhythmias on follow up.
authors.affiliation: Division of Cardiology, James H. Quillen College of Medicine, East Tennessee State University, Johnson, TN 37614, USA. amhalawa@hotmail.com
authors.forename: Ahmad
authors.initials: A
authors.lastname: Halawa
authors.forename: Vipul
authors.initials: V
authors.lastname: Brahmbhatt
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Fahrig
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001282:Atrial Flutter / Q000209:etiology* / Q000601:surgery*; D017115:Catheter Ablation; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*
chemical_list: D000925:Anticoagulants