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  • Title: [Pathophysiology of auricular flutter and fibrillation in patients with Wolff-Parkinson-White syndrome. A case successfully treated by fulguration of the bundle of His].
    Author: Fabregat JR, Puech P.
    Journal: Arch Inst Cardiol Mex; 1990; 60(5):449-53. PubMed ID: 2091547.
    Abstract:
    Atrial flutter and fibrillation are common in patients with Wolff-Parkinson-White syndrome. Pathophysiology of these arrhythmias is poorly understood. Treatment is empirical and oriented to symptomatology. Here we describe a patient with Wolff-Parkinson-White syndrome with paroxysmal reentrant orthodromic AV tachycardias and atrial flutter episodes that disappeared after His Bundle fulguration. This suggests that a complete AV reentry circuit favored the occurrence of atrial flutter in this patient.
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