title: [Heterotopic heart transplantation. Initial clinical experience].
abstract: OBJECTIVE
  To report our initial clinical experience with heterotopic heart transplantation, stressing its indications and a new modification in surgical technique.
  
  
  METHODS
  We studied three patients underwent heterotopic heart transplantation, using an original technique in one of them. This new technique allows to connect both pulmonary arteries without any prosthetic tube.
  
  
  RESULTS
  One early death and two late survivors, with 17 and 20 months of follow-up. One of them is clinically well and practices sports, regularly.
  
  
  CONCLUSIONS
  Heterotopic heart transplantation could be considered as a good therapeutic option for end-stage patients with cardiomyopathy and right pulmonary vascular resistance, specially those with right ventricle. It can improve general results of heart transplantation because it reduces the early risks related to hemodynamic problems in a selected group of patients.
authors.affiliation: Real e Benemérita Sociedade Portuguesa de Beneficência, São Paulo.
authors.forename: J P
authors.initials: JP
authors.lastname: da Silva
authors.forename: M M
authors.initials: MM
authors.lastname: Cascudo
authors.forename: J F
authors.initials: JF
authors.lastname: Baumgratz
authors.forename: J H
authors.initials: JH
authors.lastname: Vila
authors.forename: A B
authors.initials: AB
authors.lastname: de Almeida
authors.forename: W F
authors.initials: WF
authors.lastname: Leite
authors.forename: A
authors.initials: A
authors.lastname: Tângari Júnior
authors.forename: L F
authors.initials: LF
authors.lastname: Canêo
authors.forename: L
authors.initials: L
authors.lastname: da Fonseca
authors.forename: E
authors.initials: E
authors.lastname: Armelin
mesh_terms: D000792:Angiography; D009202:Cardiomyopathies / Q000503:physiopathology / Q000601:surgery*; D004562:Electrocardiography; D005500:Follow-Up Studies; D016027:Heart Transplantation / Q000379:methods* / Q000502:physiology; D006801:Humans
vernacular_title: Transplante cardíaco heterotópico. Experiência clínica inicial.