Reversion of native heart tachycardiomyopathy in a patient with heterotopic cardiac transplantation
Keywords:
Atrial Flutter, Heart Transplantation, Ebstein Anomaly, Electric CountershockAbstract
We report the case of a patient with Ebstein Anomaly, submitted to heterotopic cardiac transplantation after a failed surgical correction. Despite the initial clinical improvement, the patient remained dyspneic due to systolic dyssynchronism between the hearts, generated by atrial flutter of the native heart. After flutter cardioversion, the
electrocardiogram already presented systolic synchronism between both hearts. There was a significant clinical and echocardiographic improvement of the native heart. The heart rate reduction of the native heart after flutter reversal led to hemodynamic improvements, characterizing it as being secondary to tachycardia..
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References
1. Losman JG, Barnard CN. Heterotopic heart transplantation: a valid alternative to orthotopic transplantation: results, advantages, and disadvantages. J Surg Res. 1982;32(4):297-312.
2. Morris-Thurgood J, Cowell R, Paul V, Kalsi K, Seymour AM, Ilsley C, et al. Hemodynamic and metabolic effects of paced linkage following heterotopic cardiac transplantation. Circulation. 1994;90(5):2342-7.
3. Packer DL, Bardy GH, Worley SJ, Smith MS, Cobb FR, Coleman RE, et al. Tachycardia-induced cardiomyopathy: a reversible form of left ventricular dysfunction. Am J Cardiol. 1986;57(8):563-70.
4. Coleman HN 3rd, Taylor RR, Pool PE, Whipple GH, Covell JW, Ross J Jr, et al. Congestive heart failure following chronic tachycardia. Am Heart J. 1971;81(6):790-8.
5. Silva JP, Baumgratz JF, Fonseca L, Afiune JY, Franchi SM, Lopes LM, et al. Ebstein’s anomaly. Results of the conical reconstruction of the tricuspid valve. Arq Bras Cardiol. 2004;82(3):217-20.
6. Coutinho J, Jazbik JC. Técnica operatória em transplante cardíaco. Revista da SOCERJ. 2002;13(3):157-63.
2. Morris-Thurgood J, Cowell R, Paul V, Kalsi K, Seymour AM, Ilsley C, et al. Hemodynamic and metabolic effects of paced linkage following heterotopic cardiac transplantation. Circulation. 1994;90(5):2342-7.
3. Packer DL, Bardy GH, Worley SJ, Smith MS, Cobb FR, Coleman RE, et al. Tachycardia-induced cardiomyopathy: a reversible form of left ventricular dysfunction. Am J Cardiol. 1986;57(8):563-70.
4. Coleman HN 3rd, Taylor RR, Pool PE, Whipple GH, Covell JW, Ross J Jr, et al. Congestive heart failure following chronic tachycardia. Am Heart J. 1971;81(6):790-8.
5. Silva JP, Baumgratz JF, Fonseca L, Afiune JY, Franchi SM, Lopes LM, et al. Ebstein’s anomaly. Results of the conical reconstruction of the tricuspid valve. Arq Bras Cardiol. 2004;82(3):217-20.
6. Coutinho J, Jazbik JC. Técnica operatória em transplante cardíaco. Revista da SOCERJ. 2002;13(3):157-63.
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Published
2018-01-08
How to Cite
de Castro Galvão, R., dos Santos Galvão Filho, S., & Medeiros de Vasconcelos, J. T. (2018). Reversion of native heart tachycardiomyopathy in a patient with heterotopic cardiac transplantation. JOURNAL OF CARDIAC ARRHYTHMIAS, 31(1), 13–16. Retrieved from https://jca.emnuvens.com.br/jca/article/view/46
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Case Report
