Hwang Haw-Kwei, Rusconi Paolo, Rosenkranz Eliot, Young Ming-Lon
Departments of Pediatrics, Mackay Memorial Hospital and Mackay Medicine, Nursing and Management College, Taipei, Taiwan.
Pacing Clin Electrophysiol. 2010 Aug;33(8):e68-71. doi: 10.1111/j.1540-8159.2010.02711.x. Epub 2010 Mar 5.
An 11-year-old boy, who underwent bicaval orthotopic heart transplantation for idiopathic dilated cardiomyopathy, had a focal atrial tachycardia originating from the donor superior vena cava. The pathogenesis of this tachycardia may be related to transplant rejection or transplant vasculopathy. Radiofrequency catheter ablation can eliminate this unique tachycardia and result in hemodynamic improvement.
一名11岁男孩因特发性扩张型心肌病接受了双腔原位心脏移植,出现了起源于供体上腔静脉的局灶性房性心动过速。这种心动过速的发病机制可能与移植排斥或移植血管病变有关。射频导管消融可以消除这种独特的心动过速并改善血流动力学。