Heart-lung transplantation in situs inversus totalis.
Situs inversus totalis is a condition with left-to-right reversal of the viscera combined with dextrocardia. It has long been regarded a contraindication for thoracic transplantation. Reconstruction of the mirror-image systemic venous pathways to accommodate normal donor organs remains the main surgical challenge. Here we present our simplified surgical technique for combined heart-lung transplantation and provide a concise review of the literature.
Deuse
Tobias
T
Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California 94305, USA. deuse@stanford.edu
Reitz
Bruce A
BA
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D020517:Atrial Appendage / Q000601:surgery; D016121:Brachiocephalic Veins / Q000601:surgery; D003914:Dextrocardia / Q000175:diagnosis / Q000601:surgery*; D004541:Eisenmenger Complex / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D016041:Heart-Lung Transplantation / Q000379:methods*; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D012086:Reoperation; D012857:Situs Inversus / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior / Q000601:surgery; D014683:Vena Cava, Superior / Q000601:surgery