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Ann Thorac Surg 2000;69:618-620
© 2000 The Society of Thoracic Surgeons

Case Reports

Surgical management of massive atrial size mismatch in heart transplantation

Ehab S. Bishay, FRCSa, Nicholas G. Smedira, MDa

a Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA

Address reprint requests to Dr Smedira, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Ave, F25, Cleveland, OH 44195
e-mail: smedirn{at}cesmtp.ccf.org

We describe a surgical technique that we successfully used in a case involving severe size mismatch between the recipient’s atrial remnants and the donor heart atria. Complete recipient left atrial excision, extensive pulmonary vein mobilization, and plication of the right atrial remnant achieved this goal.




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