Atrial tachycardia ablation in late post-operative cardiac transplantation
Keywords:
Tachycardia, Catheter Ablation, Heart TransplantationAbstract
We report a peculiar case of an incessant wide complex QRS tachycardia in a patient with orthotopic heart transplant using a bi-atrial anastomosis technique, performed thirteen years before the appearance of the
arrhythmia. The patient underwent a successful ablation procedure guided by electroanatomic mapping, evidencing the importance of this method and potential pitfalls in tachyarrhythmias associated with surgical scars.
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References
1. Vaseghi M, Boyle NG, Kedia R, et al. Supraventricular tachycardia after orthotopic cardiac transplantation. J Am Coll Cardiol. 2008;51(23): 2241-9. DOI: 10.1016/j.jacc.2008.02.065.
2. Weiss ES, Nwakanma LU, Russell SB, Conte JV, Shah AS. Outcomes in bicaval versus biatrial techniques in heart transplantation: an analysis of the UNOS database. J Heart Lung Transplant. 2008;27(2):178-83. DOI:
10.1016/j.healun.2007.11.003.
3. Elsik M, Teh A, Ling LH, et al. Supraventricular arrhythmias late after orthotopic cardiac transplantation: electrocardiographic and electrophysiological characterization and radiofrequency ablation. Europace. 2012;14(10):1498-505. DOI: 10.1093/europace/eus092.
4. Josephson ME. Josephson’s Clinical Cardiac Electrophysiology. Baltimore: Lippincott Williams & Wilkins; 2015.
5. Enriquez A, Saenz LC, Rosso R, et al. Garcia. Use of Intracardiac Echocardiography in Interventional Cardiology: Working With the Anatomy Rather Than Fighting It. Circulation. 2018;137(21):2278-94. DOI: 10.1161/CIRCULATIONAHA.117.031343.
2. Weiss ES, Nwakanma LU, Russell SB, Conte JV, Shah AS. Outcomes in bicaval versus biatrial techniques in heart transplantation: an analysis of the UNOS database. J Heart Lung Transplant. 2008;27(2):178-83. DOI:
10.1016/j.healun.2007.11.003.
3. Elsik M, Teh A, Ling LH, et al. Supraventricular arrhythmias late after orthotopic cardiac transplantation: electrocardiographic and electrophysiological characterization and radiofrequency ablation. Europace. 2012;14(10):1498-505. DOI: 10.1093/europace/eus092.
4. Josephson ME. Josephson’s Clinical Cardiac Electrophysiology. Baltimore: Lippincott Williams & Wilkins; 2015.
5. Enriquez A, Saenz LC, Rosso R, et al. Garcia. Use of Intracardiac Echocardiography in Interventional Cardiology: Working With the Anatomy Rather Than Fighting It. Circulation. 2018;137(21):2278-94. DOI: 10.1161/CIRCULATIONAHA.117.031343.
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Published
2018-07-02
How to Cite
Tostes, P. C., Silva Barbosa, R., de Sousa Possani, F., & de Campos Araújo, H. (2018). Atrial tachycardia ablation in late post-operative cardiac transplantation. JOURNAL OF CARDIAC ARRHYTHMIAS, 31(3), 94–97. Retrieved from https://jca.org.br/jca/article/view/84
