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Ann Thorac Surg 1990;50:894-898
© 1990 The Society of Thoracic Surgeons

Articles

Cardiac transplantation for hypoplastic left heart syndrome: A modified technique

Carl L. Backer, MDa,b, Farouk S. Idriss, MDa,b, Vincent R. Zales, MDa,b, Constantine Mavroudis, MD*,a,b

a Divisions of Cardiovascular-Thoracic Surgery and Cardiology, Children's Memorial Hospital, Chicago, Illinois USA
b Departments of Surgery and Pediatrics, Northwestern University Medical School, Chicago, Illinois USA

Accepted for publication May 22, 1990.

* Address reprint requests to Dr Mavroudis, Division of Cardiovascular-Thoracic Surgery, Children's Memorial Hospital, Box 22, 2300 Children's Plaza, Chicago, IL 60614.

A modified technique of infant orthotopic cardiac transplantation with arch reconstruction using bicaval cannulation is described, and the results in 4 infants with hypoplastic left heart syndrome are presented. This technique minimizes donor myocardial ischemic time and recipient circulatory arrest time.




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