Heart Transplantation in a Patient with Left Isomerism.
We report the case of a 37-year-old man who suffered from biventricular failure due to left isomerism, inferior vena cava interruption with azygos vein continuation, bilateral superior vena cava, double outlet of right ventricle, complete atrioventricular septal defect, pulmonary stenosis, and isolated dextrocardia. Heart transplantation in patients with systemic venous anomalies often requires the correction and reconstruction of the upper & lower venous drainage. We present a case of heart transplantation in a patient with left isomerism, highlighting technical modifications to the procedure, including the unifocalization of the caval veins and reconstruction with patch augmentation.
Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine.
Ji Hyun
JH
Bang
Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine.
You Na
YN
Oh
Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine.
Jae Suk
JS
Yoo
Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine.
Jae-Joong
JJ
Kim
Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine.
Chun Soo
CS
Park
Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine.
Jeong-Jun
JJ
Park
Congenital heart disease; Heart transplantation; Heterotaxy