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A 55-year-old man was admitted to the hospital because of a persistent urinary tract infection.
The patient had had an extensive anterior myocardial infarct 11 years earlier accompanied by ventricular tachycardia, and another myocardial infarction was complicated by complete atrioventricular block one year later. A permanent electronic pacemaker was implanted. Coronary angiographic examination revealed inoperable coronary artery disease, and medical management was provided for congestive heart failure. Six and a half years before entry recurrent bouts of ventricular tachycardia developed, with near syncope. An orthotopic cardiac transplantation was performed nine months later. The patient's postoperative course was complicated by severe
Differential Diagnosis
Clinical Diagnosis
Dr. Paul E. Sax's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Addendum
References
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