title: Aorta-to-left-atrial shunting through a previously performed heterotopic heart transplant: an unusual complication of orthotopic re-transplantation.
abstract: Heterotopic heart transplantation is rarely performed today, except in cases of recipient-donor size mismatch and when addressing complications associated with recipient pulmonary artery hypertension. As in orthotopic cardiac transplantation, occurrence of allograft vasculopathy occasionally calls for re-transplantation. Although orthotopic re-transplantation without removal of the heterotopic allograft has been described previously, we report the case of a patient who presented with an unusual complication.
authors.affiliation: Department of Cardiopulmonary Transplantation, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77225-0345, USA.
authors.forename: William
authors.initials: W
authors.lastname: Cohn
authors.forename: Branislav
authors.initials: B
authors.lastname: Radovancevic
authors.forename: Offer
authors.initials: O
authors.lastname: Amir
authors.forename: Ronald
authors.initials: R
authors.lastname: Smith
authors.forename: Frank
authors.initials: F
authors.lastname: Smart
authors.forename: O H
authors.initials: OH
authors.lastname: Frazier
mesh_terms: D000368:Aged; D001022:Aortic Valve Insufficiency / Q000209:etiology*; D006328:Cardiac Catheterization; D004452:Echocardiography; D006325:Heart Atria; D006333:Heart Failure / Q000209:etiology*; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000209:etiology*; D011183:Postoperative Complications; D012039:Regional Blood Flow; D012086:Reoperation; D016042:Transplantation, Heterotopic