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Lishan Aklog
John G. Byrne
David H. Adams
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Right arrow Transplantation - heart

Ann Thorac Surg 2002;73:671-672
© 2002 The Society of Thoracic Surgeons

How to do it

Open inferior vena caval anastomosis during bicaval heart transplantation

Lishan Aklog, MD*a, Jerome Sepic, MDa, Farzan Filsoufi, MDa, John G. Byrne, MDa, David H. Adams, MDa

a Division of Cardiac Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA

Accepted for publication October 9, 2001.

* Address reprint requests to Dr Aklog, Division of Cardiac Surgery, Brigham and Women’s Hospital, 75 Francis St, Boston, MA 02115, USA
e-mail: laklog{at}partners.org

Performing a precise inferior vena caval (IVC) anastomosis during bicaval orthotopic heart transplantation can sometimes be challenging because of crowding of the operative field by the venous cannula and tourniquet. We performed bicaval orthotopic heart transplantation in 10 patients using an open IVC anastomotic technique with vacuum-assisted venous drainage. A long venous cannula was passed into the IVC through the femoral vein. The IVC anastomosis was performed after removing the IVC tourniquet under vacuum-assisted venous drainage. A precise edge-to-edge IVC anastomosis was successfully performed in all patients. This technique may result in greater anastomotic precision and improved outcomes.




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