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Ann Thorac Surg 1998;65:823-825
© 1998 The Society of Thoracic Surgeons

Case Reports

Combined Heart and Single-Lung Transplantation in Complex Congenital Heart Disease

James I. Fann, MD, Michael K. Wilson, MD, James Theodore, MD, Bruce A. Reitz, MD

Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California, USA,
Section of Cardiothoracic Surgery, Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA

Accepted for publication October 27, 1997.

Dr Fann, Department of Cardiothoracic Surgery, Stanford University Medical Center, 300 Pasteur Dr, Stanford, CA 94305.

We present a patient with a history of tricuspid and pulmonary atresia who underwent a classic Glenn shunt and a Potts shunt during childhood, resulting in different right and left pulmonary physiology. Because of progression of cardiopulmonary disease and the fact that the right lung was "protected," the patient underwent combined heart–left single-lung transplantation. The postoperative course was uneventful. Potential early and late advantages of this approach include simplifying of the operative procedure and mitigating the potential effects of obliterative bronchiolitis.




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