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Europace Advance Access published online on December 18, 2008
Europace, doi:10.1093/europace/eun356
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

CASE REPORT

Residual recipient right atrial tissue responsive to atropine 10 years following ‘bi-caval’ orthotopic heart–lung transplantation

Ilknur Can1, Kenneth Liao2 and David G Benditt1,*

1 Cardiac Arrhythmia Center, Cardiovascular Division, Department of Medicine, University of Minnesota Medical School, MMC 508, 420 Delaware Street SE, Minneapolis, MN 55455, USA; 2 Division of Cardiothoracic Surgery, Department of Surgery, University of Minnesota Medical School, MMC 508, 420 Delaware Street SE, Minneapolis, MN 55455, USA

A 51-year-old-man who had undergone a heart–lung transplant by ‘bi-caval’ anastomosis technique demonstrated residual recipient right atrial (RA) electrical activity responsive to muscarinic blockade 10 years after the surgery. The presumably initially denervated donor RA proved to be responsive to muscarinic blockade as well.

* Corresponding author. Tel: +1 612 625 4401, Fax: +1 612 624 4937, Email: bendi001{at}umn.edu


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