Heart Transplantation in a Patient with Persistent Left Superior Vena Cava.
10.5090/kjtcs.2014.47.6.533
- Author:
Jae Hong LEE
1
;
Eun Ah PARK
;
Whal LEE
;
Hyun Jai CHO
;
Ki Bong KIM
;
Ho Young HWANG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Korea. scalpel@hanmail.net
- Publication Type:Case Report
- Keywords:
Heart transplantation;
Tricuspid valve
- MeSH:
Atrial Appendage;
Coronary Sinus;
Dyspnea;
Edema;
Heart Transplantation*;
Humans;
Lower Extremity;
Male;
Middle Aged;
Tricuspid Valve;
Tricuspid Valve Insufficiency;
Vena Cava, Superior*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2014;47(6):533-535
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 56-year-old male presented with severe exertional dyspnea and pitting edema in the lower extremities. The pre-operative evaluation demonstrated biventricular dysfunction associated with severe tricuspid valve regurgitation and a persistent left superior vena cava. He was registered as a transplantation candidate, and orthotopic heart transplantation was performed using the standard bicaval technique. The left superior vena cava was connected to the right atrial appendage after the construction of a conduit using the recipient's autologous coronary sinus tissue. One-month postoperatively, computed tomography imagery demonstrated a patent conduit between the left superior vena cava and right atrial appendage.
