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Peri‐mitral atrial flutter, which is a type of macroreentrant atrial tachycardia circulating around the mitral annulus, was terminated with the guidance of the high‐density mapping catheter. A 72‐year‐old woman with atrial fibrillation and atrial tachycardia presented with symptoms of congestive heart failure. The recurrent peri‐mitral atrial flutter following the initial catheter ablation for atrial tachycardia and atrial fibrillation was terminated by radiofrequency application on the gap that was identified using a novel high‐density mapping catheter. (PACE 2010; 1–4)
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