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The Annals of Thoracic Surgery, Vol 57, 765-767, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Alternative technique for orthotopic heart transplantation

C Blanche, LS Czer, M Valenza and A Trento
Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California 90048.

An alternative technique for orthotopic heart transplantation is described. The principle consists of total excision of the recipient's right atrium with donor heart implantation performed using bicaval anastomoses; the left atrium is done in the standard fashion. This approach is technically simple and preserves the anatomic and physiologic function and integrity of the right atrium, especially the conduction system.

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