title: Left atrial plication for heart transplantation in patients with giant left atrium.
abstract: Giant left atrium occasionally occurs in patients undergoing heart transplantation and causes a technical challenge for the surgeon because of the substantial discrepancy in size between the left atrial cuffs of the recipient and donor. We describe a left atrial plication technique that substantially reduces this discrepancy and allows for a standard left atrial anastomosis to be performed without any other modifications in technique.
authors.affiliation: Division of Cardiothoracic Surgery, Oregon Health and Science University, Portland, OR 97239, USA. songh@ohsu.edu
authors.forename: Howard K
authors.initials: HK
authors.lastname: Song
authors.forename: Frederick A
authors.initials: FA
authors.lastname: Tibayan
authors.forename: Steven W
authors.initials: SW
authors.lastname: Guyton
authors.forename: Matthew S
authors.initials: MS
authors.lastname: Slater
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods*; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D006325:Heart Atria / Q000002:abnormalities* / Q000601:surgery*; D016027:Heart Transplantation / Q000379:methods*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D013536:Suture Techniques