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Ann Thorac Surg 1978;26:177-184
© 1978 The Society of Thoracic Surgeons

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Articles

Normal Cardiac Function with a Hybrid Heart

Department of Cardiac Surgery, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa

Accepted for publication December 1, 1977.

^* Address reprint requests to Dr. Losman, Cardiac Surgical Research Unit, Medical School-Observatory, Cape Town 7925, South Africa

A left ventricular bypass procedure using a cardiac allograft was performed in a patient with a long history of rheumatic heart disease and two aortic valve replacements. Normal cardiac function was reestablished, and the only problem following transplantation was that of serious arrhythmias involving the recipient heart. Eighteen months after left ventricular bypass bacterial endocarditis which was resistant to medical treatment developed on the aortic prosthesis. The patient underwent operation, the prosthesis was removed, and the recipient left ventricle was partially resected and excluded from the circulation. Since then the patient has been asymptomatic and, at the time of writing three years after cardiac allograft, he is our longest survivor.

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