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Case Reports in Cardiology
Volume 2015 (2015), Article ID 401580, 3 pages
http://dx.doi.org/10.1155/2015/401580
Case Report

Radiofrequency Ablation of Typical Atrial Flutter via Right Jugular Vein due to Bilateral Obstructed Iliac Veins in a Patient with Dilated Cardiomyopathy

1Department of Cardiology, Kocaeli Derince Education and Research Hospital, 41500 Kocaeli, Turkey
2Department of Cardiology, Istanbul Medical Faculty, Istanbul University, 34000 Istanbul, Turkey

Received 15 November 2014; Accepted 17 January 2015

Academic Editor: Kurt Roberts-Thomson

Copyright © 2015 Tolga Aksu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ablation of cavotricuspid isthmus (CTI) is the gold standard method in the treatment of isthmus dependent atrial flutter (AFl). Venous access was obtained usually via right or left femoral veins. In rare cases of obstruction of iliofemoral veins, ablation of CTI can be performed only through the superior approach. We present a 74-year-old woman of typical AFl and dilated cardiomyopathy that was ablated through the right jugular vein because of obstruction of the left and the right iliac veins. This is the first report of successful ablation of CTI in a patient with dilated cardiomyopathy via superior approach.