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Vorhofflattern in der Frühphase nach orthotoper Herztransplantation

Atrial flutter after orthotopic heart transplantation due to recipient-to-donor transatrial conduction

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Summary

A few weeks after orthotopic heart transplantation, a male adolescent developed atrial arrhythmias of the donor heart due to an atypical recipient atrial flutter with a recipient-to-donor transatrial conduction resulting in an absolute arrhythmia. Under medication with propafenone, the atrial flutter of the donor heart could be terminated with cardioversion.

Zusammenfassung

Ein 14-jähriger Patient mit ausgeprägter dilatativer Kardiomyopathie entwickelte wenige Wochen nach orthotoper Herztransplantation eine Kreislaufinstabilität durch eine absolute Arrhythmie bei Vorhofflattern. Als wahrscheinlichste Ursache des Vorhofflatterns im Spenderorgan wird eine vom Empfänger-Vorhof übergeleitete atriale Arrhythmie angenommen. Unter einer Medikation mit Propafenon konnte das Vorhofflattern des Spenderorgans durch Kardioversion terminiert werden.

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References

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Authors and Affiliations

  1. Klinik und Poliklinik für Kinderheilkunde—Kardiologie, Universitätsklinikum Münster, Albert-Schweitzer-Str. 33, 48149, Münster

    H. G. Kehl, V. Debus, D. Stege & J. Vogt

  2. Klinik und Poliklinik für Thorax-, Herz- und Gefäßchirurgie, Münster

    T. D. T. Tjan

  3. Medizinische Klinik und Poliklinik C, Münster

    E. Schulze-Bahr

Authors
  1. H. G. Kehl
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  2. V. Debus
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  3. D. Stege
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  4. T. D. T. Tjan
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  5. J. Vogt
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  6. E. Schulze-Bahr
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Corresponding author

Correspondence to H. G. Kehl.

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Kehl, H.G., Debus, V., Stege, D. et al. Vorhofflattern in der Frühphase nach orthotoper Herztransplantation. Herzschr. Elektrophys. 16, 270–273 (2005). https://doi.org/10.1007/s00399-005-0494-5

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  • DOI: https://doi.org/10.1007/s00399-005-0494-5

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