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The Journal of Thoracic and Cardiovascular Surgery, Vol 99, 493-499, Copyright © 1990 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
DB Doty, DG Renlund, GR Caputo, NA Burton and KW Jones
Transplantation of the heart was successfully performed in a patient with
situs inversus of the viscera and atria. Anatomic constants common to all
patients allowed the left atrium, pulmonary artery, and aorta to be joined
as usual in the transplant operation. Systemic venous reconstruction was
the crux of the operation. A composite superior vena cava was reconstructed
on the right side from the recipient translocated superior vena cava, donor
superior vena cava and innominate vein, and recipient in situ pericardium.
The inferior vena cava was rerouted from the left side across the midline
to the right through a composite conduit consisting of the recipient night
atrium and in situ pericardium over the diaphragm. These reconstructed
venous passageways have remained patent and unobstructed for 1 1/2 years
after the operation.
ARTICLES
Cardiac transplantation in situs inversus
Department of Surgery, University of Utah School of Medicine, Salt Lake City.
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R. E. Michler and A. A. Sandhu Novel approach for orthotopic heart transplantation in visceroatrial situs inversus Ann. Thorac. Surg., July 1, 1995; 60(1): 194 - 197. [Abstract] [PDF]
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P. R. Vouhe, D. Tamisier, J. Le Bidois, D. Sidi, P. Mauriat, P. Pouard, D. Lefebvre, S. B. Albanese, W. Khoury, J. Kachaner, et al. Pediatric cardiac transplantation for congenital heart defects: Surgical considerations and results Ann. Thorac. Surg., December 1, 1993; 56(6): 000349759390660A - 349759390660A. [Abstract] [PDF]
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D. G. Pennington, N. Noedel, L. R. McBride, K. S. Naunheim, and W. S. Ring Heart transplantation in children: An international survey Ann. Thorac. Surg., September 1, 1991; 52(3): 710 - 715. [Abstract] [PDF]
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A. H. Menkis, F. N. McKenzie, R. J. Novick, W. J. Kostuk, P. W. Pflugfelder, M. Goldbach, H. Rosenberg, and The Paediatric Heart Transplant Group Expanding applicability of transplantation after multiple prior palliative procedures Ann. Thorac. Surg., September 1, 1991; 52(3): 722 - 726. [Abstract] [PDF]
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