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Ann Thorac Surg 1983;36:476-482
© 1983 The Society of Thoracic Surgeons

Articles

The Surgical Technique of Heterotopic Heart Transplantation

D. Novitzky, M.D., F.C.S.(S.A.)*, D.K.C. Cooper, M.A., M.B., B.S., Ph.D., F.R.C.S., C.N. Barnard, M.D., M.Med., M.S., Ph.D., F.A.C.S., F.A.C.C., D.Sc. (Hon Causa)

Department of Cardiac Surgery, Groote Schuur Hospital and University of Cape Town Medical School, Cape Town, Republic of South Africa

Accepted for publication November 6, 1982.

* Address reprint requests to Dr. Novitzky, Department of Cardiac Surgery, University of Cape Town Medical School, Cape Town, Republic of South Africa

The surgical technique of heterotopic heart transplantation is detailed and illustrated. The donor heart is excised after cardioplegic arrest and topical cooling; its preparation and implantation in the recipient are described. Emphasis is placed on ensuring nonrestrictive anastomoses between the left and right atria of the recipient and the donor, on estimating the optimal length of the donor aorta, and on the insertion of a prosthetic graft between the donor and the recipient pulmonary arteries. Forty-six such transplants have been performed to date without operative or early postoperative mortality related to technical problems.




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