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The Journal of Thoracic and Cardiovascular Surgery, Vol 103, 307-313, Copyright © 1992 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Heart-lung transplantation in situs inversus. A case report in a patient with Kartagener's syndrome

A Miralles, C Muneretto, I Gandjbakhch, Y Lecompte, A Pavie, G Rabago, L Bracamonte, M Desruennes, A Cabrol and C Cabrol
Department of Cardiac Surgery, La Pitie, Paris, France.

After a long history of recurrent chronic pulmonary infections in a 25- year-old woman with Kartagener's syndrome, a heart-lung transplantation was performed. A modified surgical procedure was needed to perform transplantation because of the presence of a situs inversus, which is usually associated with bronchiectasis and sinusitis in this congenital syndrome. A large single atrium was created with both the right and left recipient atria used to facilitate anastomosis with the donor's right atrium. The patient was discharged after resolution of early ventilatory complications and is in good condition 8 months after transplantation.

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