Heart Transplant in Patient With Isolated Left Superior Vena Cava by Atrial Appendage Rotation.

Reyes, Karl M; Gupta, Dipankar; Fricker, Frederick Jay; Cooke, Susan; Bleiweis, Mark S · Ann Thorac Surg · 2018

case_report · Level V

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Abstract

Orthotopic heart transplantation in patients with an isolated persistent left superior vena cava is extremely rare, and the anastomotic connection between a right-sided donor superior vena cava and left-sided recipient superior vena cava can be challenging to perform. We present a novel technique used in an infant female, using the left atrial appendage to extend the superior vena cava anastomosis.

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