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Ann Thorac Surg 1994;58:1174-1176
© 1994 The Society of Thoracic Surgeons

Articles

Heart-lung transplantation in situs inversus and chest wall deformity

Andrew J. Parry, FRCS*, John O'Fiesh, FRCS, John Wallwork, FRCS, Stephen R. Large, FRCS

Transplant Unit, Papworth Hospital, Cambridge, England

Accepted for publication February 4, 1994.

* Address reprint requests to Mr Parry, Transplant Unit, Papworth Hospital, Papworth Everard, Cambridge, CB3 8RE, England.

Heart-lung transplantation in the presence of complex congenital heart disease including situs inversus and significant chest wall deformity can be accomplished successfully. However, the postoperative course is apt to be prolonged because of mechanical respiratory problems, which will respond to a protocol of weaning and nutritional supplementation.




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