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Ann Thorac Surg 1987;44:420-421
© 1987 The Society of Thoracic Surgeons

Articles

Orthotopic Cardiac Transplantation in Patients with Large Donor/Recipient Atrial Size Mismatch: Surgical Technique

J. Michael Duncan, M.D.*, Miodrag Peric, M.D., O.H. Frazier, M.D.

From the Department of Transplantation, Texas Heart Institute, Houston, TX

Accepted for publication January 20, 1987.

* Address reprint requests to Dr. Duncan, Texas Heart Institute, P.O. Box 20345, Houston, TX 77225

A successful surgical technique is described that overcomes the problem of severe size mismatch between the recipient's atrial remnants and the donor heart atria in patients undergoing orthotopic cardiac transplantation. The circumferences of the atria are reduced by plicating the atrial remnants until the appropriate sizes are obtained.




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E. S. Bishay and N. G. Smedira
Surgical management of massive atrial size mismatch in heart transplantation
Ann. Thorac. Surg., February 1, 2000; 69(2): 618 - 620.
[Abstract] [Full Text] [PDF]


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