Document Detail

Recognition and management of complex rhythm disorders in heterotopic heart transplantation.
MedLine Citation:
PMID:  19285624     Owner:  NLM     Status:  MEDLINE    
Managing arrhythmias is challenging in patients who have undergone heterotopic heart transplantation because of the superimposed rhythms of the native and donor hearts. We present the case of a 43-year-old man with a previously placed biventricular pacemaker who underwent heterotopic heart transplantation and later developed acute rejection of the donor heart, which led to bradycardia and pause-dependent ventricular fibrillation. The patient remained clinically stable in the short term, likely because of partial recovery of myocardial function in the native heart. He later underwent placement of a pacing lead in the donor heart, allowing linking of the two hearts via a biventricular pacemaker.
Christopher M Frank; Mehdi Razavi; Mohammed Saeed; Roberta C Bogaev; Ali Massumi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-01-30
Journal Detail:
Title:  The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation     Volume:  28     ISSN:  1557-3117     ISO Abbreviation:  J. Heart Lung Transplant.     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-16     Completed Date:  2009-08-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102703     Medline TA:  J Heart Lung Transplant     Country:  United States    
Other Details:
Languages:  eng     Pagination:  294-6     Citation Subset:  IM    
Department of Transplant Research, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
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MeSH Terms
Bradycardia / diagnosis,  etiology*
Heart Transplantation / adverse effects*
Transplantation, Heterotopic / adverse effects*
Ventricular Fibrillation / diagnosis,  etiology*

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