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The Annals of Thoracic Surgery, Vol 55, 779-781, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Technique of transplantation for hypoplastic left heart syndrome with left superior vena cava

TL Spray, CB Huddleston and CE Canter
Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, Missouri.

The presence of a left superior vena cava in infants with hypoplastic left heart syndrome complicates the technical performance of orthotopic cardiac transplantation. In this report we describe a modification of the recipient cardiectomy to maintain patency of the left superior vena cava, leaving the recipient coronary sinus as a conduit for it into the right atrium and avoiding complex venous reconstructions.

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