A rare cause of graft dysfunction after a heart transplant.
A 39-year-old man with a dilated cardiomyopathy was treated for recurrent life threatening ventricular arrhythmias with an automatic defibrillator and multiple antiarrhythmic agents. After transplant, the donor heart was asystolic probably secondary to these agents. A biventricular paracorporeal device supported the patient for four days and the heart recovered. He remains NYHA class I seven years later.
Zimmerman
Hannah
H
Section of Cardiothoracic Surgery, University of California San Diego, MC 8892, 200 W. Arbor Drive, San Diego, CA 92103, USA.
Nolan
Paul E
PE
Copeland
Jack G
JG
Sethi
Gulshan
G
D000328:Adult; D000889:Anti-Arrhythmia Agents / Q000009:adverse effects*; D002311:Cardiomyopathy, Dilated / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D017147:Defibrillators, Implantable; D004554:Electric Countershock / Q000295:instrumentation; D006323:Heart Arrest / Q000139:chemically induced* / Q000628:therapy; D016027:Heart Transplantation / Q000009:adverse effects*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D020127:Recovery of Function; D017180:Tachycardia, Ventricular / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D016896:Treatment Outcome
D000889:Anti-Arrhythmia Agents