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Orthotopic heart transplantation: two parts of the heart with two different arrhythmias.

Abstract
An unusual case of two different types of atrial arrhythmia after orthotopic heart transplantation is reported: a macro-reentrant atrial tachycardia in the recipient atrium, and a common-type, counterclockwise, isthmus-dependent atrial flutter in the donor atrium. The clinical symptoms were caused by atrial flutter arising from the donor atrium. Radiofrequency catheter ablation of the electrically active, donor-derived portion of the cavotricuspid isthmus was performed successfully.
AuthorsMichele D'Alto, Stephen Lord, John Bourke, Giuseppe Santarpia, Berardo Sarubbi, Maria Giovanna Russo, Raffaele Calabrò
JournalJournal of cardiovascular medicine (Hagerstown, Md.) (J Cardiovasc Med (Hagerstown)) Vol. 12 Issue 3 Pg. 193-6 (Mar 2011) ISSN: 1558-2035 [Electronic] United States
PMID20125029 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Atrial Flutter (diagnosis, etiology, surgery)
  • Cardiomyopathy, Dilated (surgery)
  • Catheter Ablation
  • Electrophysiologic Techniques, Cardiac
  • Heart Transplantation (adverse effects)
  • Humans
  • Male
  • Tachycardia, Supraventricular (diagnosis, etiology, surgery)
  • Treatment Outcome

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