The Journal of cardiovascular surgery · 1997
Orthotopic heart transplantation for dilated cardiomyopathy in a patient with persistent left superior vena cava and atresia of the right superior vena cava.
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Argüero R, Careaga G, Castano R, Garrido M, Sanchez O
Аннотация
OBJECTIVE: To describe the surgical procedure of an orthotopic heart transplantation in a recipient with persistent left superior vena cava and atresia of right superior vena cava.
EXPERIMENTAL DESIGN: Case report.
PATIENT: A 43 year old male with persistent left superior vena cava, atresia of the right superior vena cava and dilated cardiomyopathy.
INTERVENTIONS: Orthotopic heart transplantation with selective cannulation of the left superior vena cava via recipient coronary sinus for cardiopulmonary bypass.
RESULTS: No perioperative complications, satisfactory postoperative course. No rejection episodes at 7 months postoperative with non invasive procedure surveillance.
CONCLUSION: Technique described to preserve left superior vena cava is a useful alternative for this patient with no surgical complications.
EXPERIMENTAL DESIGN: Case report.
PATIENT: A 43 year old male with persistent left superior vena cava, atresia of the right superior vena cava and dilated cardiomyopathy.
INTERVENTIONS: Orthotopic heart transplantation with selective cannulation of the left superior vena cava via recipient coronary sinus for cardiopulmonary bypass.
RESULTS: No perioperative complications, satisfactory postoperative course. No rejection episodes at 7 months postoperative with non invasive procedure surveillance.
CONCLUSION: Technique described to preserve left superior vena cava is a useful alternative for this patient with no surgical complications.