Atrial dissociation after atrial compartment operation for chronic atrial fibrillation in mitral valve disease

Atrial dissociation with segmental atrial arrhythmia is an interesting electrophysiological phenomenon. It was rarely reported before to be caused by anatomical exit block after cardiac surgery. We report the case of a 28-year-old patient who developed atrial disassociation after a surgical method for correcting atrial fibrillation--atrial compartment operation. The segmental atrial flutter was first found by Doppler echocardiography and proved later by detailed intracardiac mapping.