Skip to main content
SpringerLink
Log in

Case Report: Radiofrequency Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia in a Patient with Heart Transplantation

  • Published:
Journal of Interventional Cardiac Electrophysiology Aims and scope Submit manuscript

Abstract

Ten years after orthotopic cardiac transplantation, a 56-year-old man developed recurrent presyncope and syncope. A 24-hour ambulatory electrocardiographic recording did not document significant arrhythmic events. A head-up tilt table test was negative. An electrophysiologic study revealed dual atrioventricular (AV) nodal physiology and inducible typical atrioventricular nodal reentrant tachycardia (AVNRT). The patient became hypotensive and presyncopal during AVNRT. Radiofrequency (RF) catheter ablation successfully eliminated AVNRT without complications. The patient remained free of symptoms at nine months follow-up.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Jacquet L, Ziady G, Stein K, et al. Cardiac rhythm disturbances early after orthotopic heart transplantation: prevalence and clinical importance of the observed arrhythmias. J Am Coll Cardiol 1990;16:832–837.

    Google Scholar 

  2. Scott CD, Dark JH, McComb JM. Arrhythmias after cardiac transplantation. Am J Cardiol 1992;70:1061–1063.

    Google Scholar 

  3. Rothman SA, Miller JM, Hsia HH, et al. Radiofrequency ablation of a supraventricular tachycardia due to interatrial conduction from the recipient to donor atria in an orthotopic heart transplant recipient. J Cardiovasc Electrophysiol 1995;6:544–550.

    Google Scholar 

  4. Neuzner J, Friedl A, Pitschner HF. Radiofrequency catheter ablation of a concealed accessory atrioventricular pathway after heart transplantation. PACE 1994;17:1778–1781.

    Google Scholar 

  5. Rothman SA, Hsia HH, Bove AA, et al. Radiofrequency ablation of Wolff-Parkinson-White syndrome in a donor heart after orthotopic heart transplantation. J Heart Lung Transplant 1994;13:905–909.

    Google Scholar 

  6. Blanche C, Hwang C, Valenza M, et al. Wolff-Parkinson-White syndrome in a cardiac allograft. Ann Thorac Surg 1995;59:744–746.

    Google Scholar 

  7. Li YG, Gronefeld G, Hohnloser SH. Radiofrequency catheter ablation of atrial flutter after orthotopic heart transplantation. J Cardiovasc Electrophysiol 1996;7:1086–1090.

    Google Scholar 

  8. Jazayeri MR, Deshpande S, Dhala A, et al. Transcatheter mapping and radiofrequency ablation of cardiac arrhythmias. Curr Probl Cardiol 1994;19:287–315.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Baylor College of Medicine, Houston, TX

    Dennis W.X. Zhu & Huabin Sun

Authors
  1. Dennis W.X. Zhu
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Huabin Sun
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zhu, D.W., Sun, H. Case Report: Radiofrequency Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia in a Patient with Heart Transplantation. J Interv Card Electrophysiol 2, 87–89 (1997). https://doi.org/10.1023/A:1009725109669

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1009725109669

Search

Navigation