Luke A. Ziegler, BA, Sandeep Sainathan, MD, Victor O

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Total Artificial Heart as Rescue Therapy for Primary Graft Failure in an Infant Luke A. Ziegler, BA, Sandeep Sainathan, MD, Victor O. Morell, MD, Mahesh S. Sharma, MD The Annals of Thoracic Surgery Volume 105, Issue 4, Pages e151-e153 (April 2018) DOI: 10.1016/j.athoracsur.2017.10.049 Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Illustration of the stepwise surgical construction: (A) allograft cardiectomy; (B) creation of left atrial Gore-Tex (W. L. Gore & Assoc, Flagstaff, AZ) compliance chamber; (C) inflow cannula sewn to the neoleft atrium; (D) Gore-Tex conduit sewn to the inferior vena cava and (E) superior vena cava, with atrial inflow cannula sewn to right atrial compliance chamber; (F) Gore-Tex conduit sewn to the main pulmonary artery; (G) pulmonary outflow cannula sewn to the interposition graft; (H) Gore-Tex conduit sewn to the ascending aorta; and (I) systemic outflow cannula sewn to the aortic interposition graft for completion of the total artificial heart. The Annals of Thoracic Surgery 2018 105, e151-e153DOI: (10.1016/j.athoracsur.2017.10.049) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Intraoperative photograph shows the completed construct. The pulmonary venous inflow is posterior and not visible. The Annals of Thoracic Surgery 2018 105, e151-e153DOI: (10.1016/j.athoracsur.2017.10.049) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions