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Mechanism of Typical Atrial Flutter in a Patient After Cardiac Transplant: Functional Slowing From Geometric
Alejandro Plana1, Jeremy S Treger1, Jonathan Grinstein2
1The University of Chicago Medicine, Center for Arrhythmia Care, Pritzker School of Medicine, Chicago, Illinois, USA.
JACC. Case Reports
|September 25, 2025
Summary
Atrial flutter after heart transplant can be caused by geometric distortion, not just suture lines. This finding suggests new treatment considerations for these unique patients.
Area of Science:
- Cardiology
- Cardiac Surgery
- Electrophysiology
Background:
- Atrial flutter and fibrillation affect 25% of orthotopic heart transplant (OHT) recipients.
- Treatment options are limited by hemodynamic and medication restrictions in OHT patients.
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