Department of Cardiology, Second University of Naples, Monaldi Hospital, Naples, Italy.
J Cardiovasc Med (Hagerstown). 2011 Mar;12(3):193-6. doi: 10.2459/JCM.0b013e328336ecaf.
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.
受者心房内的大折返性房性心动过速和供体心房内的常见型、逆时针、峡部依赖性房扑。临床症状由来自供体心房的房扑引起。成功地对电活动的、源自供体的三尖瓣峡部进行了射频导管消融。