Alternative technique for orthotopic heart transplantation.
An alternative technique for orthotopic heart transplantation is described. The principle consists of total excision of the recipient's right atrium with donor heart implantation performed using bicaval anastomoses; the left atrium is done in the standard fashion. This approach is technically simple and preserves the anatomic and physiologic function and integrity of the right atrium, especially the conduction system.
Blanche
C
C
Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California 90048.
Czer
L S
LS
Valenza
M
M
Trento
A
A
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D016280:Atrial Function, Right; D006325:Heart Atria / Q000601:surgery; D016027:Heart Transplantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014019:Tissue Donors; D014684:Venae Cavae / Q000601:surgery