Double lung transplantation in situs inversus with Kartagener's syndrome Paolo Macchiarini, MDa, Alain Chapelier, MDa, Pascal Vouhé, MDa, Jacques Cerrina,

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Presentation transcript:

Double lung transplantation in situs inversus with Kartagener's syndrome Paolo Macchiarini, MDa, Alain Chapelier, MDa, Pascal Vouhé, MDa, Jacques Cerrina, MDa, François Le Roy Ladurie, MDa, François Parquin, MDa, François Brenot, MDb, Gérald Simonneau, MDb, Philippe Dartevelle, MDa The Journal of Thoracic and Cardiovascular Surgery Volume 108, Issue 1, Pages 86-91 (July 1994) DOI: 10.5555/uri:pii:S0022522394702233 Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 1 Thoracic anatomy of situs inversus. The heart is right-sided. The pulmonary artery is anterior to the aorta and originates from the left ventricle. The aorta originates from the right ventricle and its arch and thoracic tract are on the right. The superior and inferior venae cavae are left-sided. The Journal of Thoracic and Cardiovascular Surgery 1994 108, 86-91DOI: (10.5555/uri:pii:S0022522394702233) Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 2 En bloc DLT in patients with situs inversus and end-stage Kartagener's syndrome. A, The long right and short left main bronchi of the recipient were divided approximately at 1.5 cm from the carina. B, Donor right main stem bronchus was sectioned at its origin and left main stem bronchus proximal to its upper lobe takeoff. The Journal of Thoracic and Cardiovascular Surgery 1994 108, 86-91DOI: (10.5555/uri:pii:S0022522394702233) Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 3 A, Preoperative posteroanterior chest x-ray film of recipient 1. The patient had a tracheostomy, a right central venous catheter whose tip clearly stops in the left-sided superior vena cava, dextrocardia, and multiple bilateral bronchiectasis located especiallyin the lower lobes. B, Chest x-ray film 48 months after en bloc DLT. The Journal of Thoracic and Cardiovascular Surgery 1994 108, 86-91DOI: (10.5555/uri:pii:S0022522394702233) Copyright © 1994 Mosby, Inc. Terms and Conditions