Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Heart Transplantation in a Patient with Left Isomerism

  • Bang, Ji Hyun (Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Oh, You Na (Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Yoo, Jae Suk (Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Jae-Joong (Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Chun Soo (Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Jeong-Jun (Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2014.08.26
  • Accepted : 2014.10.27
  • Published : 2015.08.05
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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.

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References

  1. Kim HJ, Jung SH, Kim JJ, et al. Early postoperative complications after heart transplantation in adult recipients: Asan Medical Center experience. Korean J Thorac Cardiovasc Surg 2013;46:426-32. https://doi.org/10.5090/kjtcs.2013.46.6.426
  2. Horai T, Bhama JK, Fontes PA, Toyoda Y. Combined heart and liver transplantation in a patient with situs ambiguous. Ann Thorac Surg 2011;91:600-1. https://doi.org/10.1016/j.athoracsur.2010.07.078
  3. Larsen RL, Eguchi JH, Mulla NF, et al. Usefulness of cardiac transplantation in children with visceral heterotaxy (asplenic and polysplenic syndromes and single right-sided spleen with levocardia) and comparison of results with cardiac transplantation in children with dilated cardiomyopathy. Am J Cardiol 2002;89:1275-9. https://doi.org/10.1016/S0002-9149(02)02325-1
  4. Vallabhajosyula P, Komlo C, Wallen TJ, Olthoff K, Pochettino A. Combined heart-liver transplant in a situs-ambiguous patient with failed Fontan physiology. J Thorac Cardiovasc Surg 2013;145:e39-41. https://doi.org/10.1016/j.jtcvs.2012.12.066
  5. Doty DB, Renlund DG, Caputo GR, Burton NA, Jones KW. Cardiac transplantation in situs inversus. J Thorac Cardiovasc Surg 1990;99:493-9.
  6. Cooper DK, Ye Y, Chaffin JS, Zuhdi N. A suggested technique for "orthotopic" heart transplantation in a patient with situs inversus. Tex Heart Inst J 1993;20:281-4.
  7. Joo S, Kim GS, Lim JY, et al. Orthotopic cardiac transplantation after inter-caval anastomosis in a patient with hypertrophic cardiomyopathy and persistent left superior vena cava. Korean J Thorac Cardiovasc Surg 2010;43:522-4. https://doi.org/10.5090/kjtcs.2010.43.5.522