Timothy B. Icenogle, MDa,b, Jack G. Copeland, MDc

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Presentation transcript:

A technique to simplify and improve exposure in heart-lung transplantation Timothy B. Icenogle, MDa,b, Jack G. Copeland, MDc The Journal of Thoracic and Cardiovascular Surgery Volume 110, Issue 6, Pages 1590-1593 (December 1995) DOI: 10.1016/S0022-5223(95)70017-X Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 1 Stapling of the left interior pulmonary vein after resection of the heart. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1590-1593DOI: (10.1016/S0022-5223(95)70017-X) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 2 Exposure after resection of the left atrium. Lines of incision in the pericardium are shown by the dashed line. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1590-1593DOI: (10.1016/S0022-5223(95)70017-X) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 3 The heart-lung block is placed anterior to the phrenic nerves. (Redrawn with permission from Mosby-Year Book, Inc., Chicago, Ill. Original drawing taken from Donald B. Doty's Cardiac Surgery: A Looseleaf Workbook and Update Service. Chicago: Mosby-Year Book, 1989: Special Problems, page TRANSPL 19.) The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1590-1593DOI: (10.1016/S0022-5223(95)70017-X) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 4 Exposure of the area posterior to the heart-lung block from the left side. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1590-1593DOI: (10.1016/S0022-5223(95)70017-X) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 5 Exposure of the area posterior to the heart-lung block from the right side. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1590-1593DOI: (10.1016/S0022-5223(95)70017-X) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 6 Rolling the heart-lung block gives exposure to the area of bronchial dissection. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1590-1593DOI: (10.1016/S0022-5223(95)70017-X) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 7 Survival curve for heart-lung transplantation. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 1590-1593DOI: (10.1016/S0022-5223(95)70017-X) Copyright © 1995 Mosby, Inc. Terms and Conditions