Combined heart and liver transplantation in a patient with situs ambiguous.
We report the case of 21-year-old man with Fontan circulation failure and end-stage liver cirrhosis, along with situs ambiguous. Combined simultaneous heart and liver transplantation was successfully performed with technical modifications, including rotated implantation and bilateral venous reconstruction.
Division of Cardiothoracic Transplantation, Heart, Lung, and Esophageal Surgery Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA.
Tetsuya
T
Horai
Jay K
JK
Bhama
Paulo A
PA
Fontes
Yoshiya
Y
Toyoda
D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000601:surgery*; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D004452:Echocardiography; D006330:Heart Defects, Congenital / Q000601:surgery*; D016027:Heart Transplantation; D006503:Hepatic Veins / Q000002:abnormalities* / Q000601:surgery; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D011651:Pulmonary Artery / Q000637:transplantation; D013154:Spleen / Q000002:abnormalities; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures