Two Hearts Living in One Mind: What is the Rhythm?

A 59-year-old patient who underwent orthotropic heart transplantation (OHT) for end-stage non-ischemic cardiomyopathy presented 2-months later with palpitations and fatigue. He has a history of hypertension, diabetes mellitus, and well-controlled human immunodeficiency virus. Of note, pre-transplant imaging had demonstrated a persistent left-sided superior vena cava draining into a large coronary sinus. Therefore, a bi-atrial anastomosis surgical technique (involving suturing the donor right atrium to a portion of the native right atrium with preservation of the native and donor coronary sinuses) was used at the time of transplantation.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: ECG image of the month Source Type: research