Evidence map›Paper›PMID 41864981›Full record

ArticleJournal of cardiothoracic surgery2026

Hybrid ablation in a patient with atypical atrial flutter originating from a left atrial appendage aneurysm: a case report.

Antoni Wileczek, Mariusz Kowalewski, Wiesława Grajkowska, Małgorzata Kołos, Natalia Ogorzelec, Marta Kornaszewska, Piotr Suwalski, Sebastian Stec

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In one paragraph

Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Antoni WileczekElmedica, EP-Network, Skarżysko-Kamienna, Poland.
Mariusz KowalewskiDepartment of Cardiac Surgery and Transplantology, National Medical Institute of the Ministry of Interior and Administration, Wołoska 137 Str. 02-507 Warsaw, Warsaw, Poland. kowalewskimariusz@gazeta.p.
Wiesława GrajkowskaDepartment of Pathology, The Children's Memorial Health Institute, Warsaw, Poland.
Małgorzata KołosPathomorphology Centre, National Medical Institute of the Ministry of Interior and Administration, Warsaw, Poland.
Natalia OgorzelecDepartment of Cardiac Surgery and Transplantology, National Medical Institute of the Ministry of Interior and Administration, Wołoska 137 Str. 02-507 Warsaw, Warsaw, Poland.
Marta KornaszewskaPrivate Cardiology Practice, Kleczany, Chełmiec, Poland.
Piotr SuwalskiDepartment of Cardiac Surgery and Transplantology, National Medical Institute of the Ministry of Interior and Administration, Wołoska 137 Str. 02-507 Warsaw, Warsaw, Poland.
Sebastian StecElmedica, EP-Network, Skarżysko-Kamienna, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Left atrial appendage (LAA) aneurysm is a rare structural abnormality that can predispose to significant complications, including systemic embolism and complex supraventricular arrhythmias. Here, we report a 44-year-old female with a coexistent LAA aneurysm and persistent atypical atrial flutter (AFL). Despite cardioversion and medical therapy, she had recurrences of persistent AFL and continued to experience reduced exercise tolerance and chest pain. Computed tomography of the heart revealed a large LAA aneurysm measuring 51 × 53 × 25 millimeters. Due to the risk of perforation associated with catheter ablation, the procedure was abandoned. Following multidisciplinary evaluation, the patient underwent a hybrid thoracoscopic ablation with electrophysiological guidance and LAA aneurysm occlusion. At 12-month follow-up, she remained asymptomatic and maintained the sinus rhythm. This case illustrates that a hybrid ablation strategy can be a safe and effective option for patients with atypical atrial flutter originating from a left atrial appendage aneurysm when conventional catheter-based treatment is limited by anatomical or procedural constraints. Such personalized approaches may improve clinical outcomes in complex atrial arrhythmias.

Indexed as

Atrial AppendageAtrial FlutterCatheter AblationHeart AneurysmAdultFemaleHumansThoracoscopyTomography, X-Ray Computedatrial fibrillationatrial flutterhybrid ablationleft atrial appendage aneurysm

Identifiers

PMID41864981
PMCPMC13130414

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.