Catheter Ablation of Focal Atrial Tachycardia Originating From a Donor Heart After Bicaval Orthotopic Heart Transplantation Guided by a Noncontact Mapping System
スポンサーリンク
概要
- 論文の詳細を見る
A 19-year-old man who underwent bicaval orthotopic heart transplantation for idiopathic dilated cardiomyopathy complained of palpitations 2 weeks after the heart transplantation. An ECG revealed paroxysmal atrial tachycardia (AT) with a cycle length of 260 ms and the P wave morphology of the AT was similar to that during sinus rhythm. Echocardio- graphy showed normal contraction. No rejection, vasculopathy, or infection was observed. An electrophysiologic study and catheter ablation guided by a noncontact mapping system were performed due to drug refractory AT. The AT was induced spontaneously by isoproterenol infusion. The activation sequence of the AT exhibited a focal pattern, and the break- out site of the AT into the donor right atrium was just 12 mm below the breakout site of the donor sinoatrial node. Radiofrequency catheter ablation eliminated this AT and resulted in an improvement in the symptoms.
著者
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Minamiguchi Hitoshi
Department of Cardiology, Knasai Rosai Hospital
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Mizuno Hiroya
Department Of Cardiovascular Medicine Osaka University Graduate School Of Medicine
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SAITO Shunsuke
Department of Cardio-Vascular Surgery, National Cardio-Vascular Center
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Sakata Yasushi
Department Of Cardiovascular Medicine Osaka University Graduate School Of Medicine
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Nanto Shinsuke
Department Of Advanced Cardiovascular Therapeutics
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Masuda Masaharu
Deparment of Cardiology, Osaka General Medical Center
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Sawa Yoshiki
Department Of Cardiovascular Medicine Osaka University Graduate School Of Medicine
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Komuro Issei
Department Of Cardiovascular Medicine
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Mizuno Hiroya
Department of Advanced Cardiovascular Therapeutics, Osaka University Graduate School of Medicine
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Sakata Yasushi
Department of Applied Chemistry, Faculty of Engineering, Doshisha University
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Saito Shunsuke
Department of Cardiac-, Thoracic-, Transplantation and Vascular Surgery, Hannover Medical School
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Masuda Masaharu
Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine
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