Direct current catheter ablation of an accessory pathway in a recipient with refractory reciprocal tachycardia.
A recurrent reciprocating tachycardia developed in a 45-year-old man 2 years after heart transplantation. Electrocardiograms of both donor and recipient were normal, without patent preexcitation. An electrophysiologic study showed a left-sided Kent bundle with only retrograde conduction property. Because antiarrhythmic therapy was unsuccessful, direct current catheter ablation was performed. Since this procedure the patient remained asymptomatic without antiarrhythmic therapy.
Gallay
P
P
Service de Cardiologie, Hôpital Saint Eloi, Montpellier, France.
Albat
B
B
Thevenet
A
A
Grolleau
R
R
D002304:Cardiac Pacing, Artificial; D004562:Electrocardiography; D004564:Electrocoagulation; D006329:Heart Conduction System / Q000601:surgery*; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013610:Tachycardia / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D014019:Tissue Donors; D014927:Wolff-Parkinson-White Syndrome / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*