Catheter ablation of atrial tachycardia due to recipient-to-donor transatrial conduction after orthotopic heart transplantation.
Atrial arrhythmias occur frequently after orthotopic heart transplantation. In some cases, they may depend on atrio-atrial conduction across the surgical suture line. We report an unusual case of a heart transplant recipient who had recipient atypical atrial flutter with 2:1 transatrial conduction and a resulting tachycardia in the donor atrium. Electroanatomical mapping identified the site of transatrial conduction and guided successful catheter ablation.
Ribbing
Michael
M
Department of Cardiology and Angiology, Hospital of the University of Münster and Institute for Arteriosclerosis Research at the University of Münster, Germany. ribbing@uni-muenster.de
Mönnig
Gerold
G
Wasmer
Kristina
K
Breithardt
Günter
G
Eckardt
Lars
L
D000368:Aged; D017115:Catheter Ablation; D004562:Electrocardiography; D006329:Heart Conduction System / Q000503:physiopathology*; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D013612:Tachycardia, Ectopic Atrial / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*