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Radiofrequency catheter ablation of atrioventricular nodal reentrant tachycardia in a patient with orthotopic heart transplantation by bicaval anastomosis

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Abstract

Patients with orthotopic heart transplantation may have a variety of arrhythmias. There are reports of successful radiofrequency catheter ablation of some of them. Two months after orthotopic cardiac transplantation by bicaval anastomosis, a 49-year-old man developed episodes of tachycardia. The patient develope with dyspnoea and hypotension during typical atrioventricular nodal reentrant tachycardia (AVNRT) revealed by electrocardiogram. During programmed atrial stimulation with progressively increasing prematurity, dual auriculoventricular nodal physiology was observed and AVNRT was induced. This tachycardia was successfully eliminated without complications by radiofrequency catheter ablation of the slow pathway. The patient remained asymptomatic at 4-month follow-up.

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Authors and Affiliations

  1. Department of Heart Transplantation and Heart Failure, Hermanos Ameijeiras Hospital, San Lázaro e/ Belascoaín y Marqués González, CP 10400, Centro Habana, Havana, Cuba

    Lissette Rodríguez de Armas & Javier Almeida

  2. Department of Electrophysiology, Institute of Cardiology and Cardiac Surgery, 17 # 702, Plaza, Havana, Cuba

    Margarita Dorantes, Jesús Castro, Francisco José Tornés, Julio César Rodríguez & Yanela Fayad

Authors
  1. Lissette Rodríguez de Armas
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  2. Margarita Dorantes
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  3. Jesús Castro
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  4. Francisco José Tornés
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  5. Julio César Rodríguez
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  6. Yanela Fayad
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  7. Javier Almeida
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Correspondence to Lissette Rodríguez de Armas.

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Rodríguez de Armas, L., Dorantes, M., Castro, J. et al. Radiofrequency catheter ablation of atrioventricular nodal reentrant tachycardia in a patient with orthotopic heart transplantation by bicaval anastomosis. J Interv Card Electrophysiol 15, 171–174 (2006). https://doi.org/10.1007/s10840-006-9009-5

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  • DOI: https://doi.org/10.1007/s10840-006-9009-5

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