Orthotopic heart transplantation for dilated cardiomyopathy in a patient with persistent left superior vena cava and atresia of the right superior vena cava.
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.


METHODS
Case report.


METHODS
A 43 year old male with persistent left superior vena cava, atresia of the right superior vena cava and dilated cardiomyopathy.


METHODS
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.


CONCLUSIONS
Technique described to preserve left superior vena cava is a useful alternative for this patient with no surgical complications.
Argüero
R
R
Hospital for Cardiology, Centro Medico Nacional Siglo XXI, IMSS, México D.F., Mexico.
Careaga
G
G
Castano
R
R
Garrido
M
M
Sanchez
O
O
D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000150:complications / Q000601:surgery*; D016027:Heart Transplantation / Q000379:methods*; D006801:Humans; D008297:Male; D014683:Vena Cava, Superior / Q000002:abnormalities*