• J. Heart Lung Transplant. · Mar 2009

    Case Reports

    Recognition and management of complex rhythm disorders in heterotopic heart transplantation.

    • Christopher M Frank, Mehdi Razavi, Mohammed Saeed, Roberta C Bogaev, and Ali Massumi.
    • Department of Transplant Research, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
    • J. Heart Lung Transplant. 2009 Mar 1;28(3):294-6.

    AbstractManaging 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.

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