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Ann Thorac Surg 1995;60:194-197
© 1995 The Society of Thoracic Surgeons

Articles

Novel approach for orthotopic heart transplantation in visceroatrial situs inversus

MD Robert E. Michler*, MD Aqeel A. Sandhu

Division of Cardiothoracic Surgery, Department of Surgery, Columbia University, College of Physicians and Surgeons, New York, New York, USA

Accepted for publication November 30, 1994.

* Address reprint requests to Dr Michler, Cardiac Transplant Service, Columbia Presbyterian Medical Center, MHB 7-435, 177 Ft Washington Ave, New York, NY 10032.

Orthotopic heart transplantation was performed successfully in a 7-year-old girl with visceroatrial situs inversus. Creation of two autologous left-sided atrial tissue baffles tunneled the left superior vena cava and inferior vena cava to the right of the pulmonary veins. The reconstructed caval tunnels remain widely patent more than 4 years after transplantation. The ability of autologous tissue to grow with the patient has distinct advantages in the pediatric transplant population.




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