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Focal Atrial Tachycardia Originating from the Donor Superior Vena Cava after Bicaval Orthotopic Heart Transplantation
Authors:HAW‐KWEI HWANG MD  PAOLO RUSCONI MD  ELIOT ROSENKRANZ MD  MING‐LON YOUNG MD  MPH
Institution:1. Departments of Pediatrics, Mackay Memorial Hospital and Mackay Medicine, Nursing and Management College, Taipei, Taiwan;2. Department of Pediatrics;3. Department of Surgery, University of Miami, Miami, Florida
Abstract:An 11‐year‐old boy, who underwent bicaval orthotopic heart transplantation for idiopathic dilated cardiomyopathy, had a focal atrial tachycardia originating from the donor superior vena cava. The pathogenesis of this tachycardia may be related to transplant rejection or transplant vasculopathy. Radiofrequency catheter ablation can eliminate this unique tachycardia and result in hemodynamic improvement. (PACE 2010; e68–e71)
Keywords:SVC tachycardia  transplantation  radiofrequency catheter ablation
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