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Ann Thorac Surg 2009;88:1002-1003. doi:10.1016/j.athoracsur.2009.01.060
© 2009 The Society of Thoracic Surgeons
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Tobias Deuse
Bruce A. Reitz
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Right arrow Lung - transplantation
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Case Reports

Heart-Lung Transplantation In Situs Inversus Totalis

Tobias Deuse, MD*, Bruce A. Reitz, MD

Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California

Accepted for publication January 22, 2009.

* Address correspondence to Dr Deuse, Department of Cardiothoracic Surgery, Stanford University School of Medicine, 300 Pasteur Dr, CVRB MC 5407, Stanford, CA 94305 (Email: deuse{at}stanford.edu).

Situs inversus totalis is a condition with left-to-right reversal of the viscera combined with dextrocardia. It has long been regarded a contraindication for thoracic transplantation. Reconstruction of the mirror-image systemic venous pathways to accommodate normal donor organs remains the main surgical challenge. Here we present our simplified surgical technique for combined heart-lung transplantation and provide a concise review of the literature.






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