Mapping strategy for multiple atrial tachyarrhythmias in a transplant heart

Qi Jin; Steen Pehrson; Peter Karl Jacobsen; Xu Chen

doi:10.1186/s12872-015-0031-3

Mapping strategy for multiple atrial tachyarrhythmias in a transplant heart

Qi Jin, Steen Pehrson, Peter Karl Jacobsen, Xu Chen

5 Citations (Scopus)

Abstract

BACKGROUND: Different atrial arrhythmias can coexist in the recipient and donor atria after heart transplantation.

CASE PRESENTATION: We report an unusual case of a patient with three different types of atrial arrhythmia after heart transplantation: an atrial fibrillation in the recipient atria, and a cavotricuspid isthmus dependent atrial flutter and a focal atrial tachycardia in the donor atria. 3D electroanatomical mapping and ablation were guided by remote magnetic navigation (RMN). Atrial fibrillation continued in the recipient atria even after the donor heart was converted to sinus rhythm by ablation.

CONCLUSIONS: It is critical to understand the surgical anatomy of a bi-atrial anastomosis and its relevant electrical activation pattern before ablation. Appropriate electroanatomical mapping strategy with RMN can facilitate the successful ablation of post-transplant atrial arrhythmias.

Original language	English
Journal	B M C Cardiovascular Disorders
Volume	15
Pages (from-to)	38
ISSN	1471-2261
DOIs	https://doi.org/10.1186/s12872-015-0031-3
Publication status	Published - 2015

Keywords

Cardiomyopathy, Dilated
Catheter Ablation
Heart Atria
Heart Transplantation
Humans
Imaging, Three-Dimensional
Magnetics
Male
Tachycardia

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10.1186/s12872-015-0031-3

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title = "Mapping strategy for multiple atrial tachyarrhythmias in a transplant heart",

abstract = "BACKGROUND: Different atrial arrhythmias can coexist in the recipient and donor atria after heart transplantation.CASE PRESENTATION: We report an unusual case of a patient with three different types of atrial arrhythmia after heart transplantation: an atrial fibrillation in the recipient atria, and a cavotricuspid isthmus dependent atrial flutter and a focal atrial tachycardia in the donor atria. 3D electroanatomical mapping and ablation were guided by remote magnetic navigation (RMN). Atrial fibrillation continued in the recipient atria even after the donor heart was converted to sinus rhythm by ablation.CONCLUSIONS: It is critical to understand the surgical anatomy of a bi-atrial anastomosis and its relevant electrical activation pattern before ablation. Appropriate electroanatomical mapping strategy with RMN can facilitate the successful ablation of post-transplant atrial arrhythmias.",

keywords = "Cardiomyopathy, Dilated, Catheter Ablation, Heart Atria, Heart Transplantation, Humans, Imaging, Three-Dimensional, Magnetics, Male, Tachycardia",

author = "Qi Jin and Steen Pehrson and Jacobsen, {Peter Karl} and Xu Chen",

year = "2015",

doi = "10.1186/s12872-015-0031-3",

language = "English",

volume = "15",

pages = "38",

journal = "B M C Cardiovascular Disorders",

issn = "1471-2261",

publisher = "BioMed Central Ltd",

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TY - JOUR

T1 - Mapping strategy for multiple atrial tachyarrhythmias in a transplant heart

AU - Jin, Qi

AU - Pehrson, Steen

AU - Jacobsen, Peter Karl

AU - Chen, Xu

PY - 2015

Y1 - 2015

N2 - BACKGROUND: Different atrial arrhythmias can coexist in the recipient and donor atria after heart transplantation.CASE PRESENTATION: We report an unusual case of a patient with three different types of atrial arrhythmia after heart transplantation: an atrial fibrillation in the recipient atria, and a cavotricuspid isthmus dependent atrial flutter and a focal atrial tachycardia in the donor atria. 3D electroanatomical mapping and ablation were guided by remote magnetic navigation (RMN). Atrial fibrillation continued in the recipient atria even after the donor heart was converted to sinus rhythm by ablation.CONCLUSIONS: It is critical to understand the surgical anatomy of a bi-atrial anastomosis and its relevant electrical activation pattern before ablation. Appropriate electroanatomical mapping strategy with RMN can facilitate the successful ablation of post-transplant atrial arrhythmias.

AB - BACKGROUND: Different atrial arrhythmias can coexist in the recipient and donor atria after heart transplantation.CASE PRESENTATION: We report an unusual case of a patient with three different types of atrial arrhythmia after heart transplantation: an atrial fibrillation in the recipient atria, and a cavotricuspid isthmus dependent atrial flutter and a focal atrial tachycardia in the donor atria. 3D electroanatomical mapping and ablation were guided by remote magnetic navigation (RMN). Atrial fibrillation continued in the recipient atria even after the donor heart was converted to sinus rhythm by ablation.CONCLUSIONS: It is critical to understand the surgical anatomy of a bi-atrial anastomosis and its relevant electrical activation pattern before ablation. Appropriate electroanatomical mapping strategy with RMN can facilitate the successful ablation of post-transplant atrial arrhythmias.

KW - Cardiomyopathy, Dilated

KW - Catheter Ablation

KW - Heart Atria

KW - Heart Transplantation

KW - Humans

KW - Imaging, Three-Dimensional

KW - Magnetics

KW - Male

KW - Tachycardia

U2 - 10.1186/s12872-015-0031-3

DO - 10.1186/s12872-015-0031-3

M3 - Journal article

C2 - 25964112

SN - 1471-2261

VL - 15

SP - 38

JO - B M C Cardiovascular Disorders

JF - B M C Cardiovascular Disorders

ER -

Mapping strategy for multiple atrial tachyarrhythmias in a transplant heart

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Keywords

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