Successful catheter ablation of recipient left ventricular tachycardia 26 years after heterotopic heart transplantation

To the Editor— Rhythmologic challenges following heart transplantation

“… 3 Even in orthotopic HTx, arrhythmias can be challenging as described for catheter ablation of atrial tachycardia because of recipient-to-donor transatrial conduction. 4 Taken together, we fully support the article by Laredo et al 1 with the messages that hHTx is capable of showing considerable survival in selected cases. We further stress that follow-up of patients who underwent HTx should comprise rhythmologic expertise since such patients have the potential to develop complex as well as HTx-specific and rarely seen arrhythmias.…”

“…It found its way into broader application in the late 1980s and early 1990s, especially for patients with elevated pulmonary vascular resistance. Laredo et al 1 have recently described a case of successful catheter ablation of ventricular tachycardia in a patient 26 years after hHTx. This article is of particular interest for 2 reasons.…”