Successful ablation of refractory neonatal atrial flutter

Atrial flutter is an uncommonly diagnosed arrhythmia in the neonatal period. The majority of cases can be successfully converted to sinus rhythm by electrical cardioversion or atrial overdrive pacing. Sinus rhythm usually is maintained without the need for ongoing arrhythmic medication.1 Ablation of atrial flutter in neonates for arrhythmia control has yet to be reported.