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A tale of two hearts
  1. Abhishek Maiti1,
  2. Katherine A Terracina1,
  3. Avash Das2,
  4. Saurav Chatterjee3
  1. 1Department of Internal Medicine, The University of Texas Health Science Centre at Houston, Houston, Texas, USA
  2. 2Department of Cardiology, Massachusetts General Hospital, Boston, Massachusetts, USA
  3. 3Division of Cardiology, St Luke's-Roosevelt Hospital of the Mount Sinai Health System, New York, New York, USA
  1. Correspondence to Dr Abhishek Maiti, 6431 Fannin, MSB 1.134, Houston, TX 77030, USA; abhishek.maiti87{at}gmail.com

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A 41-year-old man with acute-on-chronic decompensated heart failure presented for evaluation for heart transplantation. He had non-ischaemic cardiomyopathy and had undergone a heterotopic heart transplantation (HHT) 24 years earlier. His severe pulmonary hypertension necessitated a heterotopic transplant, with the native heart maintaining the right circulation while the donor heart worked as a biologic left ventricular assist device. His ECG showed two QRS …

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