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Ann Thorac Surg 1994;57:765-767
© 1994 The Society of Thoracic Surgeons
Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California USA
Accepted for publication November 2, 1993.
* Address reprint requests to Dr Blanche, Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Rm 6215, Los Angeles, CA 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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