Electroanatomical mapping and radiofrequency catheter ablation of atrial tachycardia originating from the donor heart after orthotopic heart transplantation in a child.
A 15-year-old boy who had been given an orthotopic heart transplant 12 years earlier underwent radiofrequency ablation after 14 months of tachycardia. At the time of the procedure, the patient presented moderate signs of heart failure and tachycardia-induced cardiomyopathy. During electroanatomical mapping we identified a focal atrial tachycardia with origin in the donor right atrium and bi-directional atrio-atrial conduction. After successful focal ablation the patient had two alternating atrial activation patterns, representing the recipient and the donor heart sinus rhythm. Two months after the ablation heart failure symptoms were in regress, and the patient was still in sinus rhythm.
Solheim
Eivind
E
Institute of Medicine, Department of Heart Disease, Haukeland University Hospital, University of Bergen, NO-5021, Bergen, Norway. eivind.solheim@helse-bergen.no
Off
Morten Kristian
MK
Hoff
Per Ivar
PI
Ohm
Ole-Jørgen
OJ
Chen
Jian
J
D000293:Adolescent; D018780:Body Surface Potential Mapping / Q000379:methods*; D017115:Catheter Ablation / Q000379:methods*; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D013612:Tachycardia, Ectopic Atrial / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D014019:Tissue Donors; D016896:Treatment Outcome