Surgical management of massive atrial size mismatch in heart transplantation.
We describe a surgical technique that we successfully used in a case involving severe size mismatch between the recipient's atrial remnants and the donor heart atria. Complete recipient left atrial excision, extensive pulmonary vein mobilization, and plication of the right atrial remnant achieved this goal.
Bishay
E S
ES
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA.
Smedira
N G
NG
D000714:Anastomosis, Surgical / Q000379:methods; D004108:Dilatation, Pathologic; D005260:Female; D006325:Heart Atria / Q000473:pathology / Q000601:surgery; D016027:Heart Transplantation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011667:Pulmonary Veins / Q000601:surgery