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Ann Thorac Surg 2001;71:1046-1047
© 2001 The Society of Thoracic Surgeons
a The Section of Thoracic Organ Transplantation, Division of Cardiothoracic Surgery, The University of Illinois at Chicago, Chicago, Illinois, USA
Accepted for publication September 19, 2000.
Address reprint requests to Dr Massad, Division of Cardiothoracic Surgery (MC 958), The University of Illinois at Chicago, 840 South Wood St, CSB Suite 417, Chicago, IL 60612
e-mail: mmassad{at}uic.edu
Heterotopic implantation of the pulmonary venous confluence into the left atrial appendage during left lung transplantation is a reasonable alternative technique to reestablish venous drainage when exposure of the native left pulmonary veno-atrial connection may be problematic. We used this approach in a 39-year-old woman with chronic bronchiectasis who underwent bilateral sequential lung transplantation through a clam-shell approach. Dense hilar scarring and a small left atrial size made exposure of the native left pulmonary veno-atrial connection difficult.
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