Posttransplant atrial fibrillation: Evidence of early posttransplant recipient‐to‐donor atrioatrial connections

Introduction Atrial fibrillation and atrial flutter originating from the donor s heart is a commonly reported complication post heart transplant. Atrial tachyarrhythmia originating from the recipient s heart, propagated through recipient‐to‐donor connections, is rare with only few cases reported in...

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Veröffentlicht in:Journal of cardiovascular electrophysiology 2024-03, Vol.35 (3), p.511-515
Hauptverfasser: Izekor, Bright, Perez, Christopher, Banchs, Javier, Olsovsky, Gregory
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container_title Journal of cardiovascular electrophysiology
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creator Izekor, Bright
Perez, Christopher
Banchs, Javier
Olsovsky, Gregory
description Introduction Atrial fibrillation and atrial flutter originating from the donor s heart is a commonly reported complication post heart transplant. Atrial tachyarrhythmia originating from the recipient s heart, propagated through recipient‐to‐donor connections, is rare with only few cases reported in the literature; most reported cases from our review occur years post‐transplant. Case A 47‐year‐old male presented with atrial tachycardia 6 months post heart transplant. Electrophysiologic study demonstrated atrial fibrillation originating from native heart and propagated through atrio‐atrial connections to the donor heart. This arrhythmia was successfully terminated with radiofrequency ablation. Conclusion Atrio‐atrial connection between recipient and donor can form as early as a few months post heart transplant. Radiofrequency ablation appears to be an effective treatment for atrial fibrillation propagated through donor‐to‐recipient connections.
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Atrial tachyarrhythmia originating from the recipient s heart, propagated through recipient‐to‐donor connections, is rare with only few cases reported in the literature; most reported cases from our review occur years post‐transplant. Case A 47‐year‐old male presented with atrial tachycardia 6 months post heart transplant. Electrophysiologic study demonstrated atrial fibrillation originating from native heart and propagated through atrio‐atrial connections to the donor heart. This arrhythmia was successfully terminated with radiofrequency ablation. Conclusion Atrio‐atrial connection between recipient and donor can form as early as a few months post heart transplant. 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Atrial tachyarrhythmia originating from the recipient s heart, propagated through recipient‐to‐donor connections, is rare with only few cases reported in the literature; most reported cases from our review occur years post‐transplant. Case A 47‐year‐old male presented with atrial tachycardia 6 months post heart transplant. Electrophysiologic study demonstrated atrial fibrillation originating from native heart and propagated through atrio‐atrial connections to the donor heart. This arrhythmia was successfully terminated with radiofrequency ablation. Conclusion Atrio‐atrial connection between recipient and donor can form as early as a few months post heart transplant. 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Perez, Christopher ; Banchs, Javier ; Olsovsky, Gregory</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3130-cb500d68325345f05dc3e3cbd280f5f664719e6b23eb8ae54e71a2928c4c6d203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>ablation</topic><topic>Arrhythmia</topic><topic>atrial fibrillation</topic><topic>Atrial Fibrillation - diagnosis</topic><topic>Atrial Fibrillation - etiology</topic><topic>Atrial Fibrillation - surgery</topic><topic>Atrial Flutter - diagnosis</topic><topic>Atrial Flutter - etiology</topic><topic>Atrial Flutter - surgery</topic><topic>atrial tachycardia</topic><topic>Catheter Ablation - adverse effects</topic><topic>Fibrillation</topic><topic>heart transplant</topic><topic>Heart transplantation</topic><topic>Heart Transplantation - adverse effects</topic><topic>Humans</topic><topic>Male</topic><topic>mapping</topic><topic>Middle Aged</topic><topic>radiofrequency</topic><topic>Radiofrequency ablation</topic><topic>Tachyarrhythmia</topic><topic>Tachycardia</topic><topic>Tissue Donors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Izekor, Bright</creatorcontrib><creatorcontrib>Perez, Christopher</creatorcontrib><creatorcontrib>Banchs, Javier</creatorcontrib><creatorcontrib>Olsovsky, Gregory</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; 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Atrial tachyarrhythmia originating from the recipient s heart, propagated through recipient‐to‐donor connections, is rare with only few cases reported in the literature; most reported cases from our review occur years post‐transplant. Case A 47‐year‐old male presented with atrial tachycardia 6 months post heart transplant. Electrophysiologic study demonstrated atrial fibrillation originating from native heart and propagated through atrio‐atrial connections to the donor heart. This arrhythmia was successfully terminated with radiofrequency ablation. Conclusion Atrio‐atrial connection between recipient and donor can form as early as a few months post heart transplant. 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subjects ablation
Arrhythmia
atrial fibrillation
Atrial Fibrillation - diagnosis
Atrial Fibrillation - etiology
Atrial Fibrillation - surgery
Atrial Flutter - diagnosis
Atrial Flutter - etiology
Atrial Flutter - surgery
atrial tachycardia
Catheter Ablation - adverse effects
Fibrillation
heart transplant
Heart transplantation
Heart Transplantation - adverse effects
Humans
Male
mapping
Middle Aged
radiofrequency
Radiofrequency ablation
Tachyarrhythmia
Tachycardia
Tissue Donors
title Posttransplant atrial fibrillation: Evidence of early posttransplant recipient‐to‐donor atrioatrial connections
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