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Scott D. Lick
Jack G. Copeland
Francisco A. Arabia
Gulshan K. Sethi
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Ann Thorac Surg 1995;59:1592-1593
© 1995 The Society of Thoracic Surgeons

Articles

Simplified technique of heart-lung transplantation

MD Scott D. Licka,b,*, MD Jack G. Copelanda,b, MD Luis J. Rosadoa,b, MD Francisco A. Arabiaa,b, MD Gulshan K. Sethia,b

a Department of Cardiothoracic Surgery, University of Arizona, Tucson, Arizona, USA
b Department of Cardiothoracic Surgery, University of Texas Medical Branch, Galveston, Texas, USA

Accepted for publication February 15, 1995.

* Address reprint requests to Dr Lick, Department of Cardiothoracic Surgery, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555-0528.

Well-known complications of heart-lung transplantation include mediastinal bleeding and phrenic nerve injury. Conventional technique places the hila behind the phrenic nerves. We have placed the hila in front of the phrenic nerve in our last 10 patients, using direct caval anastomoses when feasible. This minimizes traction on and dissection around the phrenic nerves, and allows anterior rotation of the heart-lung block for easier hemostasis of the posterior mediastinum after implantation.




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