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Ann Thorac Surg 2003;75:1333-1334
© 2003 The Society of Thoracic Surgeons


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Modification of bicaval anastomosis: an alternative technique for orthotopic cardiac transplantation

Nikolaos B. Tsilimingas, MDa*

a Department of Thoracic and Cardiovascular Surgery, University-Hospital Hamburg-Eppendorf, Hamburg, Germany

Accepted for publication September 28, 2002.

* Address reprint requests to Dr Tsilimingas, Department of Thoracic and Cardiovascular Surgery, University-Hospital Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany.
e-mail: tsilimingas{at}uke.uni-hamburg.de

We describe an alternative technique for orthotopic cardiac transplantation (OCT), which we use to combine the advantages of the conventional technique (Lower and Shumway) and the bicaval anastomosis. The modified technique was utilized in 31 consecutive patients undergoing heart transplantation by one surgeon in our hospital since 1998.




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