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Ann Thorac Surg 1989;48:130-133
© 1989 The Society of Thoracic Surgeons

Articles

Heart/heart-lung transplantation the domino procedure

Nicholas C. Cavarocchi, MD*, Michael Badellino, MD

Department of Surgery, Temple University Hospital School of Medicine, Philadelphia, Pennsylvania USA

Accepted for publication March 3, 1989.

* Address reprint requests to Dr Cavarocchi, Assistant Professor of Surgery, Director, Cardio-Pulmonary Transplantation, Temple University Hospital, Suite 300 Parkinson Pavilion, Philadelphia, PA 19140.

Orthotopic heart transplantation has become an accepted therapeutic modality limited only by availability of donor organs. Heart-lung transplantation is also being performed with increasing frequency due to improvements in distant procurement techniques. Although the majority of patients requiring heart-lung transplantation have cardiac dysfunction, there is a subset with no cardiac compromise that can serve as donors of cardiac allografts before heart-lung transplantation. We report a technique for sequential heart/heart-lung transplantation in such a subset of patients.




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