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Europace Advance Access published online on March 16, 2006
Europace, doi:10.1093/europace/eul006
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© The European Society of Cardiology 2006. All rights reserved
Received June 21, 2005
Accepted January 22, 2006

Article

Electromechanical synchronization of the heterotopic and native heart by dual atrial stimulation following heart transplantation

H. Antretter 1 *, F. Hintringer 2, H. Hangler 1, E. Gassner 3, D. Hoefer 1, J. Kilo 1, J. Margreiter 4, G. Laufer 1, and G. Poelzl 2

1 Department of Cardiac Surgery, Innsbruck Medical University, Anichstr. 35, 6020 Innsbruck, Austria, Europe
2 Department of Cardiology, Internal Medicine, Innsbruck Medical University, Austria, Europe
3 Department of Radiology I, Innsbruck Medical University, Austria, Europe
4 Department of Anaesthesia and Intensive Care Medicine, Innsbruck Medical University, Austria, Europe

* To whom correspondence should be addressed.
H. Antretter, E-mail: herwig.antretter{at}uibk.ac.at


  Abstract

After heterotopic heart transplantation, a 59-year-old woman presented with remarkable symptoms of breathlessness and fatigue, despite excellent donor heart function. Asynchrony of donor and native heart provoked haemodynamic instability. Dual atrial pacemaker implantation lead to linkage and synchronization of atrial and ventricular contraction in both the donor and native heart with the faster organ executing the synchronization. Remarkable relief of symptoms has been evident during the long-term follow-up.

Keywords: Heterotopic heart transplantation; Dual atrial pacemaker implantation.
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