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Updated: Jun 16, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
How should I treat an unusual referral for heart transplantation?
Kadir Caliskan1, Aggie H H M Balk, Joanna J Wykrzykowska
1Thoraxcenter, Erasmus MC, Rotterdam, The Netherlands. k.caliskan@erasmusmc.nl
Background:
A 55 years old man was referred for cardiac transplantation because of intractable angina and fatigue.
Investigation:
Physical examination, laboratory test, echocardiography, exercise ECG, MRI and coronary arteriography.
Diagnosis:
Multiple coronary artery fistulae.
Management:
Beta-blockers, angiotensin-converting enzyme inhibitor ICD.
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