Abstract

A case of atrial arrhythmia after lung transplant is presented. The key features of this case are relevant to most atypical flutters. A combination of entrainment and electroanatomic mapping can help to efficiently identify the culprit area. The target is typically a long mid-diastolic fractionated potential shown to be integral to the circuit by entrainment mapping. A micro-reentrant circuit may appear to be focal by the electroanatomic map, but entrainment techniques can still be used to localize the tachycardia.

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