Atrial flutter (AFl) is known to be a seldom type of fetal and neonatalarrhythmia. Although it could end in severe morbidities such as hydropsfetalis or even death, with early prenatal diagnosis and prompt therapeuticapproaches the majority of AFl cases show good prognosis. Neonatal AFlmight be resistant to first step therapies. Therefore, secondary agents likeflecainide, amiodarone, sotalol and cardioversion, if required, could be influentin perinatal tachyarrhythmia. In addition, close follow-up even after dischargeis very important to keep all follow-up appointments. Herein, we presentthree cases of fetal/neonatal AFl in light of the literature and discuss thecharacteristics, diagnosis and treatment options.
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