Recipient Atrial Fibrillation Manifesting as an Irregular Monomorphic Atrial Tachycardia in the Donor Heart

Johner, Nicolas; Namdar, Mehdi; Buttu, Andréa; Perenet, Sophie; Meyer, Philippe; Shah, Dipen

doi:10.1016/j.cjca.2017.07.481

Scientific article

English

Recipient Atrial Fibrillation Manifesting as an Irregular Monomorphic Atrial Tachycardia in the Donor Heart

Contributors

Johner, Nicolas

; Namdar, Mehdi

; Buttu, Andréa; Perenet, Sophie; Meyer, Philippe; Shah, Dipen

Published in

Canadian Journal of Cardiology, vol. 33, no. 10, p. 1336.e5-1336.e8

Publication date

2017

Abstract

A 63-year-old man presented with a 1-year history of atrial tachycardia (AT) 6 years after orthotopic heart transplantation with bicaval anastomosis. Twelve-lead electrocardiogram showed monomorphic AT with isoelectric intervals across all leads and strikingly irregular PP intervals. At electrophysiology study, the native left atrium's rhythm was atrial fibrillation (AF) while the donor atria exhibited centrifugal activation of irregular cycle length originating from a site along the left atrial anastomosis. Ablation at that site terminated AT to sinus rhythm. Recipient AF with recipient-to-donor conduction should be suspected in the presence of irregular monomorphic AT in orthotopic heart transplantation recipients. Catheter ablation of atrio-atrial conduction is safe and effective.

Keywords

Atrial Fibrillation/diagnosis/etiology/surgery
Catheter Ablation/methods
Electrocardiography
Heart Conduction System/physiopathology/surgery
Heart Transplantation/adverse effects
Humans
Image Processing
Computer-Assisted
Male
Middle Aged
Tachycardia
Ectopic Atrial/diagnosis/etiology/surgery
Tissue Donors

UNIGE affiliation entities

Faculté de médecine / Section de médecine clinique / Département de médecine

UNIGE research groups

Electrophysiologie (666)

Citation (ISO format)

JOHNER, Nicolas et al. Recipient Atrial Fibrillation Manifesting as an Irregular Monomorphic Atrial Tachycardia in the Donor Heart. In: Canadian Journal of Cardiology, 2017, vol. 33, n° 10, p. 1336.e5–1336.e8. doi: 10.1016/j.cjca.2017.07.481

Article (Published version)

Identifiers

PID : unige:112493
DOI : 10.1016/j.cjca.2017.07.481
PMID : 28941612

Journal ISSN

0828-282X

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Creation

21/10/2018 09:43:00

First validation

21/10/2018 09:43:00

Update

23/01/2025 15:33:32

Status update

23/01/2025 15:33:32

Last indexation

23/01/2025 15:34:59

Recipient Atrial Fibrillation Manifesting as an Irregular Monomorphic Atrial Tachycardia in the Donor Heart

Contributors

Published in

Publication date

Abstract

Keywords

UNIGE affiliation entities

UNIGE research groups

Citation (ISO format)

Main files (1)

Identifiers

Journal ISSN

Technical informations

Creation

First validation

Update

Status update

Last indexation