Novel approach for orthotopic heart transplantation in visceroatrial situs inversus.

Michler, R E; Sandhu, A A · Ann Thorac Surg · 1995

case_report · Level V

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Abstract

Orthotopic heart transplantation was performed successfully in a 7-year-old girl with visceroatrial situs inversus. Creation of two autologous left-sided atrial tissue baffles tunneled the left superior vena cava and inferior vena cava to the right of the pulmonary veins. The reconstructed caval tunnels remain widely patent more than 4 years after transplantation. The ability of autologous tissue to grow with the patient has distinct advantages in the pediatric transplant population.

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