Radiofrequency ablation of Wolff-Parkinson-White syndrome in a donor heart after orthotopic heart transplantation.
Orthotopic heart transplantation was performed in a 65-year-old man with a donor heart with Wolff-Parkinson-White Syndrome. An electrophysiologic study performed 7 days after transplantation showed a left-lateral accessory pathway that exhibited only anterograde conduction. Radiofrequency ablation of the bypass tract was successfully performed, and no evidence of recurrence was found at 12 months' follow-up. We suggest that potential donors with known electrophysiologic abnormalities that are amenable to catheter ablation techniques should be considered for orthotopic heart transplantation, thus broadening the potential donor pool.
Rothman
S A
SA
Temple University School of Medicine, Philadelphia, Pa.
Hsia
H H
HH
Bove
A A
AA
Jeevanandam
V
V
Miller
J M
JM
D000368:Aged; D001283:Atrioventricular Node / Q000503:physiopathology; D018780:Body Surface Potential Mapping; D002036:Bundle of His / Q000503:physiopathology; D002304:Cardiac Pacing, Artificial; D017115:Catheter Ablation / Q000379:methods; D004562:Electrocardiography; D005500:Follow-Up Studies; D006325:Heart Atria / Q000294:innervation; D006329:Heart Conduction System / Q000503:physiopathology; D016027:Heart Transplantation; D006352:Heart Ventricles / Q000294:innervation; D006801:Humans; D008297:Male; D014019:Tissue Donors; D014927:Wolff-Parkinson-White Syndrome / Q000503:physiopathology / Q000601:surgery*