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移植心脏中两种并发且分离的心律失常的迟发情况。

Late onset of two concurrent and dissociated arrhythmias in a transplanted heart.

作者信息

Caixal Gala, Garre Paz, Mont Lluis, Roca-Luque Ivo

机构信息

Unitat d'Arrítmies, Institut Clínic Cardiovascular (ICCV), Hospital Clínic, Universitat de Barcelona, Barcelona, Catalonia, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBABS), Barcelona, Catalonia, Spain.

Unitat d'Arrítmies, Institut Clínic Cardiovascular (ICCV), Hospital Clínic, Universitat de Barcelona, Barcelona, Catalonia, Spain.

出版信息

Indian Pacing Electrophysiol J. 2024 Nov-Dec;24(6):366-369. doi: 10.1016/j.ipej.2024.09.009. Epub 2024 Sep 25.

DOI:10.1016/j.ipej.2024.09.009
PMID:39332632
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11662407/
Abstract

A 53-year-old patient with a history of heart transplant is referred for atrial tachycardia ablation. Two dissociated concomitant rhythms are observed: a focal atrial tachycardia in the donor atrium and atrial fibrillation in the remaining recipient atrium.

摘要

一名有心脏移植史的53岁患者因房性心动过速消融术前来就诊。观察到两种分离的伴随节律：供体心房的局灶性房性心动过速和其余受体心房的心房颤动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b19/11662407/bc143ee97774/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b19/11662407/2093a821b3ed/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b19/11662407/33a6fb1b95da/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b19/11662407/bc143ee97774/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b19/11662407/2093a821b3ed/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b19/11662407/33a6fb1b95da/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b19/11662407/bc143ee97774/gr3.jpg

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本文引用的文献

1
Atrial fibrillation after orthotopic heart transplantatation: Pathophysiology and clinical impact.原位心脏移植术后房颤：病理生理学与临床影响
Int J Cardiol Heart Vasc. 2021 Jan 12;32:100710. doi: 10.1016/j.ijcha.2020.100710. eCollection 2021 Feb.
2
Dissociated electrical activities in the left atrial posterior wall seen in a patient with focal atrial tachycardia after heart transplantation.心脏移植术后局灶性房性心动过速患者左心房后壁出现的离散电活动。
Eur Heart J Case Rep. 2017 Nov 16;1(2):ytx007. doi: 10.1093/ehjcr/ytx007. eCollection 2017 Dec.
3
Arrhythmias in the Heart Transplant Patient.
心脏移植患者的心律失常
Arrhythm Electrophysiol Rev. 2014 Nov;3(3):149-55. doi: 10.15420/aer.2014.3.3.149. Epub 2014 Nov 29.
4
Standard versus bicaval techniques for orthotopic heart transplantation: an analysis of the United Network for Organ Sharing database.标准与双腔静脉技术在原位心脏移植中的应用：对器官共享联合网络数据库的分析。
J Thorac Cardiovasc Surg. 2010 Sep;140(3):700-8, 708.e1-2. doi: 10.1016/j.jtcvs.2010.04.029. Epub 2010 Jun 26.
5
Focal atrial tachycardia originating from the donor superior vena cava after bicaval orthotopic heart transplantation.双腔原位心脏移植术后源于供体上腔静脉的局灶性房性心动过速。
Pacing Clin Electrophysiol. 2010 Aug;33(8):e68-71. doi: 10.1111/j.1540-8159.2010.02711.x. Epub 2010 Mar 5.
6
Catheter ablation of recipient-to-donor atrioatrial conduction with Wenckebach-like phenomenon after orthotopic heart transplantation.原位心脏移植后出现类似文氏现象的受者至供者房房间传导的导管消融术。
J Heart Lung Transplant. 2008 Aug;27(8):917-20. doi: 10.1016/j.healun.2008.05.010. Epub 2008 Jun 24.
7
Supraventricular tachycardia after orthotopic cardiac transplantation.原位心脏移植术后室上性心动过速
J Am Coll Cardiol. 2008 Jun 10;51(23):2241-9. doi: 10.1016/j.jacc.2008.02.065.
8
Comparison of noncontact and electroanatomic mapping to identify scar and arrhythmia late after the Fontan procedure.非接触式与电解剖标测在法洛四联症修复术后晚期识别瘢痕及心律失常中的比较
Circulation. 2007 Apr 3;115(13):1738-46. doi: 10.1161/CIRCULATIONAHA.106.633982. Epub 2007 Mar 19.
9
Atrial arrhythmias and pacing after orthotopic heart transplantation: bicaval versus standard atrial anastomosis.原位心脏移植术后的房性心律失常与起搏：双腔静脉与标准心房吻合术
Br Heart J. 1995 Aug;74(2):149-53. doi: 10.1136/hrt.74.2.149.