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 |
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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. |
doi_str_mv | 10.1111/jce.16180 |
format | Article |
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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.</description><identifier>ISSN: 1045-3873</identifier><identifier>EISSN: 1540-8167</identifier><identifier>DOI: 10.1111/jce.16180</identifier><identifier>PMID: 38225537</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>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</subject><ispartof>Journal of cardiovascular electrophysiology, 2024-03, Vol.35 (3), p.511-515</ispartof><rights>2024 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3130-cb500d68325345f05dc3e3cbd280f5f664719e6b23eb8ae54e71a2928c4c6d203</cites><orcidid>0000-0002-2910-4132 ; 0000-0002-3495-6567</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjce.16180$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjce.16180$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38225537$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Izekor, Bright</creatorcontrib><creatorcontrib>Perez, Christopher</creatorcontrib><creatorcontrib>Banchs, Javier</creatorcontrib><creatorcontrib>Olsovsky, Gregory</creatorcontrib><title>Posttransplant atrial fibrillation: Evidence of early posttransplant recipient‐to‐donor atrioatrial connections</title><title>Journal of cardiovascular electrophysiology</title><addtitle>J Cardiovasc Electrophysiol</addtitle><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.</description><subject>ablation</subject><subject>Arrhythmia</subject><subject>atrial fibrillation</subject><subject>Atrial Fibrillation - diagnosis</subject><subject>Atrial Fibrillation - etiology</subject><subject>Atrial Fibrillation - surgery</subject><subject>Atrial Flutter - diagnosis</subject><subject>Atrial Flutter - etiology</subject><subject>Atrial Flutter - surgery</subject><subject>atrial tachycardia</subject><subject>Catheter Ablation - adverse effects</subject><subject>Fibrillation</subject><subject>heart transplant</subject><subject>Heart transplantation</subject><subject>Heart Transplantation - adverse effects</subject><subject>Humans</subject><subject>Male</subject><subject>mapping</subject><subject>Middle Aged</subject><subject>radiofrequency</subject><subject>Radiofrequency ablation</subject><subject>Tachyarrhythmia</subject><subject>Tachycardia</subject><subject>Tissue Donors</subject><issn>1045-3873</issn><issn>1540-8167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtOwzAQhi0EorwWXABFYgOLlLEdJy47VJWXkGAB68hxJpKr1A52CuqOI3BGToJLCxJIeDH24ptP4_kJOaQwpPGcTTUOaU4lbJAdKjJIJc2LzfiGTKRcFnxAdkOYAlCeg9gmAy4ZE4IXOyQ8uND3XtnQtcr2ieq9UW3SmMqbtlW9cfY8mbyYGq3GxDUJKt8uku53l0dtOoO2_3h7710stbPOf8nc2qidtaiXvrBPthrVBjxY33vk6XLyOL5O7-6vbsYXd6nmlEOqKwFQ55IzwTPRgKg1R66rmkloRJPnWUFHmFeMYyUVigwLqtiISZ3pvGbA98jJytt59zzH0JczEzTGb1l081CyERWiABBL9PgPOnVzb-N0kYrb4hyYjNTpitLeheCxKTtvZsovSgrlMokyJlF-JRHZo7VxXs2w_iG_Vx-BsxXwalpc_G8qb8eTlfITJ9WV-w</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Izekor, Bright</creator><creator>Perez, Christopher</creator><creator>Banchs, Javier</creator><creator>Olsovsky, Gregory</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2910-4132</orcidid><orcidid>https://orcid.org/0000-0002-3495-6567</orcidid></search><sort><creationdate>202403</creationdate><title>Posttransplant atrial fibrillation: Evidence of early posttransplant recipient‐to‐donor atrioatrial connections</title><author>Izekor, Bright ; 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 & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiovascular electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Izekor, Bright</au><au>Perez, Christopher</au><au>Banchs, Javier</au><au>Olsovsky, Gregory</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Posttransplant atrial fibrillation: Evidence of early posttransplant recipient‐to‐donor atrioatrial connections</atitle><jtitle>Journal of cardiovascular electrophysiology</jtitle><addtitle>J Cardiovasc Electrophysiol</addtitle><date>2024-03</date><risdate>2024</risdate><volume>35</volume><issue>3</issue><spage>511</spage><epage>515</epage><pages>511-515</pages><issn>1045-3873</issn><eissn>1540-8167</eissn><abstract>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.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38225537</pmid><doi>10.1111/jce.16180</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-2910-4132</orcidid><orcidid>https://orcid.org/0000-0002-3495-6567</orcidid></addata></record> |
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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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