Heart Transplantation in a Patient with Left Isomerism.
10.5090/kjtcs.2015.48.4.277
- Author:
Ji Hyun BANG
1
;
You Na OH
;
Jae Suk YOO
;
Jae Joong KIM
;
Chun Soo PARK
;
Jeong Jun PARK
Author Information
1. Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea. pkjj@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Heart transplantation;
Congenital heart disease;
Heterotaxy
- MeSH:
Adult;
Azygos Vein;
Dextrocardia;
Drainage;
Heart Defects, Congenital;
Heart Transplantation*;
Heart Ventricles;
Heart*;
Humans;
Isomerism*;
Pulmonary Valve Stenosis;
Veins;
Vena Cava, Inferior;
Vena Cava, Superior
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2015;48(4):277-280
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report the case of a 37-year-old man who suffered from biventricular failure due to left isomerism, inferior vena cava interruption with azygos vein continuation, bilateral superior vena cava, double outlet of right ventricle, complete atrioventricular septal defect, pulmonary stenosis, and isolated dextrocardia. Heart transplantation in patients with systemic venous anomalies often requires the correction and reconstruction of the upper & lower venous drainage. We present a case of heart transplantation in a patient with left isomerism, highlighting technical modifications to the procedure, including the unifocalization of the caval veins and reconstruction with patch augmentation.
