Atrial flutter and atrial fibrillation are associated with palpitation
s, impaired haemodynamics and a risk of thrombo-embolism, all of which
ran be corrected by a new surgical procedure, Cox's maze procedure wa
s used to correct surgically a symptomatic paroxysmal atrial flutter i
n a 31-year-old woman who required closure of a secundum atrial septal
defect, Six months postoperatively, she remains asymptomatic in norma
l sinus rhythm on no medication.