Abstract

A 75-year-old female with persistent long-lasting atrial fibrillation (AF) spontaneously reverted to sinus rhythm (SR). She had been suffering from mitral stenosis and secondary tricuspid insufficiency with AF since her 50’s. She underwent mitral valve replacement and tricuspid annuloplasty 3 years previously. Spontaneous defibrillation improved cardiac status and remained in SR for 3 years. Possible mechanisms of this uncommon phenomenon are discussed. Cilostazol was suggested to play a role on this case.

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