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Ann Thorac Surg 1993;55:779-781
© 1993 The Society of Thoracic Surgeons

Articles

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

Thomas L. Spray, MD*, Charles B. Huddleston, MD, Charles E. Canter, MD

Divisions of Cardiothoracic Surgery and Pediatric Cardiology, Washington University School of Medicine and St. Louis Children's Hospital, St. Louis, Missouri, USA

Accepted for publication October 12, 1992.

* Address reprint requests to Dr Spray, St. Louis Children's Hospital, 400 S Kingshighway, Suite 5W24, St. Louis, MO 63110.

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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