Magnano Anthony R, Garan Hasan
Division of Cardiology, Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Pacing Clin Electrophysiol. 2003 Sep;26(9):1878-86. doi: 10.1046/j.1460-9592.2003.00284.x.
Clinically important supraventricular arrhythmias are occasionally encountered in patients following cardiac transplantation and the use of catheter ablation as a treatment has been reported. The following three cases are described: (1) atrial flutter, including electroanatomic mapping of the donor and recipient components of the right atrium, (2) a mid-septal accessory pathway, and (3) atrioventricular nodal reentrant tachycardia (AVNRT). A Medline database search was performed and articles addressing catheter ablation following cardiac transplantation were reviewed. The efficacy of RFA for treating various arrhythmia mechanisms was evaluated based on a summary of published case reports.
心脏移植术后患者偶尔会出现具有临床意义的室上性心律失常，并且已有关于使用导管消融术进行治疗的报道。以下描述了三个病例：（1）心房扑动，包括右心房供体和受体部分的电解剖标测；（2）中隔旁道；（3）房室结折返性心动过速（AVNRT）。进行了Medline数据库检索，并对有关心脏移植后导管消融的文章进行了综述。基于已发表病例报告的总结，评估了射频消融（RFA）治疗各种心律失常机制的疗效。
