{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T04:40:02Z","timestamp":1759120802907,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,9,17]]},"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>Atrial septal defects (ASD) may lead to supraventricular arrhythmias, notably atrial flutter and fibrillation, as a consequence of right atrial volume overload resulting from left-to-right shunting, which alters the electrophysiological properties of the right atrium. While ASDs can be associated with atrial flutter, its manifestation in infancy is exceedingly uncommon. We present the case of an infant with ostium secundum ASD who developed atrial flutter, successfully treated with direct current cardioversion.<\/jats:p>","DOI":"10.1136\/bcr-2024-262617","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T04:25:15Z","timestamp":1759119915000},"page":"e262617","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Atrial septal defect presenting as atrial flutter in early infancy"],"prefix":"10.1136","volume":"18","author":[{"given":"Diptirekha","family":"Satapathy","sequence":"first","affiliation":[{"name":"Department of Pediatrics, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1123-5270","authenticated-orcid":false,"given":"Thirunavukkarasu","family":"Arun Babu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amirtha","family":"Ganesh B","sequence":"additional","affiliation":[{"name":"Department of Cardiology, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,9,28]]},"reference":[{"key":"2025092821250576000_18.9.e262617.1","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1007\/s00246-023-03324-5","article-title":"Electrocardiographic Characteristics in 438 Neonates with Atrial Septal Defects","volume":"45","author":"Dehn","year":"2024","journal-title":"Pediatr Cardiol"},{"key":"2025092821250576000_18.9.e262617.2","doi-asserted-by":"crossref","first-page":"S2940","DOI":"10.21037\/jtd.2018.08.27","article-title":"Arrhythmias and conduction disorders associated with atrial septal defects","volume":"10","author":"Williams","year":"2018","journal-title":"J Thorac Dis"},{"key":"2025092821250576000_18.9.e262617.3","doi-asserted-by":"crossref","DOI":"10.1186\/s12887-020-02259-7","article-title":"Successful treatment of neonatal atrial flutter by synchronized cardioversion: case report and literature review","volume":"20","author":"W\u00f3jtowicz-Marzec","year":"2020","journal-title":"BMC Pediatr"},{"key":"2025092821250576000_18.9.e262617.4","doi-asserted-by":"crossref","first-page":"251","DOI":"10.4103\/0974-2700.66525","article-title":"Emergency diagnosis and management of pediatric arrhythmias","volume":"3","author":"Hanash","year":"2010","journal-title":"J Emerg Trauma Shock"},{"key":"2025092821250576000_18.9.e262617.5","article-title":"Antiarrhythmic Drug Dosing in Children-Review of the Literature","volume":"10","author":"Oeffl","year":"2023","journal-title":"Children (Basel)"},{"key":"2025092821250576000_18.9.e262617.6","doi-asserted-by":"crossref","first-page":"15","DOI":"10.5606\/tgkdc.dergisi.2016.11581","article-title":"Atrial flutter cardioversion in pediatric patients by postoperative transesophageal pacing","volume":"24","author":"Ertu\u011frul","year":"2016","journal-title":"Turk Gogus Kalp Dama"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-262617","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T04:25:16Z","timestamp":1759119916000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-262617"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":6,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2025,9,28]]},"published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1136\/bcr-2024-262617"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-262617","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]}}}