HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Pfeiffer, D. Articles by Jenssen, S. Search for Related Content PubMed PubMed Citation Articles by Pfeiffer, D. Articles by Jenssen, S.

The Journal of Thoracic and Cardiovascular Surgery, Vol 104, 491-494, Copyright © 1992 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Treatment of tachyarrhythmias in a patient with the long QT syndrome by autotransplantation of the heart and sinus node-triggered atrial pacing

D Pfeiffer, H Fiehring, H Warnke, HJ Pech and S Jenssen
Institute of Cardiovascular Research, University Hospital, Charite, Berlin, Germany.

The case history of a 37-year-old woman with the long QT syndrome and drug-refractory paroxysmal ventricular tachyarrhythmias is reported. She was resuscitated eight times between 1980 and 1987. The duration of these attacks increased from a few minutes to 8 hours and the interval between them decreased from 2 years to 4 weeks. An autotransplantation was performed of the anatomically and hemodynamically normal heart. She has had normal QT intervals and has been free of tachyarrhythmias since the operation in June 1987. Because of a slow escape low atrial rhythm, she was treated with a dual-chamber pacemaker programmed in the VDD mode with a coupling interval of 15 msec. The pacemaker wires were connected to the nontransplanted atrial cuff ("atrial" wire) and the transplanted atrium ("ventricular" wire). The hemodynamic effect of the resultant sinus node-driven low atrial pacing was restoration of normal values. This is the first report of successful autotransplantation of the heart for ventricular tachyarrhythmias caused by the long QT syndrome.

This article has been cited by other articles:

				M. J. Reardon, S. C. Malaisrie, J.-C. Walkes, A. A. Vaporciyan, D. C. Rice, W. R. Smythe, C. A. DeFelice, and Z. J. Wojciechowski Cardiac Autotransplantation for Primary Cardiac Tumors Ann. Thorac. Surg., August 1, 2006; 82(2): 645 - 650. [Abstract] [Full Text] [PDF]

				H. B Erdogan, K. Kirali, S. N Omeroglu, D. Goksedef, O. Isik, and C. Yakut Partial Cardiac Autotransplantation for Reduction of the Left Atrium Asian Cardiovasc Thorac Ann, June 1, 2004; 12(2): 111 - 114. [Abstract] [Full Text] [PDF]