Heart transplantation in situs inversus totalis

Slides:

Advertisements

Similar presentations

Right Lung Left Lung.

Advertisements

Blood Flow Through the Heart. Right Lung Left Lung.

Max B. Mitchell, MD The Journal of Thoracic and Cardiovascular Surgery

Living related donor middle lobe lung transplant in a pediatric patient Takahiro Oto, MD, Kentaroh Miyoshi, MD, Seiichiro Sugimoto, MD, Masaomi Yamane,

Implantation of a centrifugal pump as a left ventricular assist device through a novel, minimized approach: Upper hemisternotomy combined with anterolateral.

Surgery for congenital diseases of the aorta

Heterotopic Heart Transplantation: Technical Considerations

Lobar lung transplantation: One size fits all

Operative Methods Used for Heart Transplantation in Complex Univentricular Heart Disease and Variations of Atrial Situs Jose Montalvo, MD, Leonard L.

Christopher W. Baird, MD, Joseph M. Forbess, MD

Organ Care System for Heart Procurement and Strategies to Reduce Primary Graft Failure After Heart Transplant Masaki Tsukashita, MD, PhD, Yoshifumi Naka,

A technique for repair of partial anomalous pulmonary vein connection to the superior vena cava José Pedro da Silva, MD, Luciana da Fonseca da Silva,

Living related donor middle lobe lung transplant in a pediatric patient Takahiro Oto, MD, Kentaroh Miyoshi, MD, Seiichiro Sugimoto, MD, Masaomi Yamane,

Working heart model of heterotopic heart-lung transplantation in rats

Use of trifurcate arch graft in left ventricular assist device implantation via the sternal sparing approach Prashant N. Mohite, MCh, Diana Garcia-Saez,

Urgent implantation of the Berlin Heart Excor biventricular assist device as a total artificial heart in a patient with single ventricle circulation

Hani K. Najm, MD, Christopher A

Salvaging an accidental superior vena caval transection during a right pneumonectomy by creating a Glenn shunt: A case report and review of the literature

Right internal thoracic artery or saphenous vein grafting

An alternate approach to valve replacement in patients with mitral stenosis and severely calcified annulus Sameh M. Said, MD, Hartzell V. Schaff, MD

Heart Transplant: Transplantation for Congenital Heart Disease

Importance of atrial surface area and refractory period in sustaining atrial fibrillation: Testing the critical mass hypothesis Anson M. Lee, MD, Abdulhameed.

Centers for Disease Control “increased-risk” organ donor: Not so risky? Francis D. Pagani, MD, PhD The Journal of Thoracic and Cardiovascular Surgery

BVS5000 support after cardiac transplantation

Surgery for acute type A aortic dissection

Cavo-Atrial Anastomosis Technique for Partial Anomalous Pulmonary Venous Connection to the Superior Vena Cava—The Warden Procedure Robert A. Gustafson,

Form ever follows function

Quantification of caval flow contribution to the lungs in vivo after total cavopulmonary connection with 4-dimensional flow magnetic resonance imaging

Multilevel data analysis: What? Why? How?

Harold L. Lazar, MD The Journal of Thoracic and Cardiovascular Surgery

Transcranial Doppler-guided selective antegrade cerebral perfusion during aortic debranching operation Ali Khoynezhad, MD, FACC, FACP, Rolando Celis,

Tomaso Bottio, MD, PhD, Gino Gerosa, MD

Surgical economics: MACRA, MIPS, and bundles—Lessons learned in the first 3 years of a coronary artery bypass grafting alternative payment model Daniel.

Kohei Hashimoto, MD, William Stansfield, MD, Shaf Keshavjee, MD

Modified fenestration technique for the Kawashima operation in a young infant Dante Picarelli, MD, José Luis Montenegro, MD, Serrana Antunez, MD, Walter.

The Journal of Thoracic and Cardiovascular Surgery

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

The bad guy, good guy scenario with a scimitar sword: A case to learn from Hani K. Najm, MD, MSc The Journal of Thoracic and Cardiovascular Surgery

The evolution of intraoperative support in lung transplantation: Cardiopulmonary bypass to extracorporeal membrane oxygenation P. Michael McFadden, MD,

A simplified technique for pulmonary artery aneurysm repair in a lung transplant recipient with right ventricular outflow tract obstruction Giorgio Zanotti,

The aortic valve–sparing operation

Aortic valve repair by sinotubular junctional remodeling to eliminate aortic regurgitation in donor cardiac allograft David J. Kaczorowski, MD, Y. Joseph.

Prashanth Vallabhajosyula, MD, MS, Caroline Komlo, BS, Tyler J

Heart transplantation in infants and children with situs inversus

A new method for implanting a total artifical heart in the patient with a Fontan circulation Ronald K. Woods, MD, PhD, Robert Niebler, MD, Steve Kindel,

Perfusion and repair technique in acute aortic dissection with cerebral malperfusion and damage of the innominate artery Paul P. Urbanski, MD, PhD, Matthias.

Modified Fontan without use of cardiopulmonary bypass

The multi–purse string maze procedure: A new surgical technique to perform the full maze procedure without atriotomies Niv Ad, MD The Journal of Thoracic.

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

The thoracoabdominal saga and heroes

Advantages of the continuous telescopic inversion technique do not overcome the disadvantages of the “turn-up” technique of aortic anastomosis Takeshi.

A mouse model of orthotopic, single-lung transplantation

Shunt right or left? Decision 2016

What is the best material for extracardiac Fontan operation?

James I Fann, Michael K Wilson, James Theodore, Bruce A Reitz

Extracardiac conduit fontan procedure without cardiopulmonary bypass

Commentary: It's all about the distal

A novel approach to the surgical correction of scimitar syndrome

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

The patent internal thoracic artery graft: Increased degree of difficulty for left-sided pulmonary resections Robbin G. Cohen, MD, MMM The Journal of.

Heart-Lung Transplantation In Situs Inversus Totalis

Billie-Jean Martin, MD, PhD, Michiko Maruyama, MD, Ivan M. Rebeyka, MD

V.Mohan Reddy, MD, Doff B. McElhinney, MS, Frank L. Hanley, MD

Apples remain apples NO matter what

Respect the aorta The Journal of Thoracic and Cardiovascular Surgery

Preoperative PFTs: The answer is blowing in the wind

Thirty-two years after total right heart bypass

Grant T. Fankhauser, MD, Abe DeAnda, MD, Patrick T. Roughneen, MD

Left atrial to left ventricle bypass for mitral valve stenosis

Presentation transcript:

Heart transplantation in situs inversus totalis Tobias Deuse, MD, Bruce A. Reitz, MD The Journal of Thoracic and Cardiovascular Surgery Volume 139, Issue 2, Pages 501-503 (February 2010) DOI: 10.1016/j.jtcvs.2008.12.011 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Pretransplantation imaging studies reveal situs inversus and dextrocardia. B, After heart transplantation, the normal donor heart remains in dextrocardia. The Journal of Thoracic and Cardiovascular Surgery 2010 139, 501-503DOI: (10.1016/j.jtcvs.2008.12.011) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Donor cardiectomy was accomplished with en-bloc removal of the superior vene cava and innominate vein and extra length on the inferior vena cava, aorta, and pulmonary artery. The donor graft was then prepared by oversewing the left pulmonary vein orifices and opening the left atrium between the right pulmonary veins. B, Both recipient's superior vene cavae, the left-sided inferior vena cava, and the aorta were cannulated for cardiopulmonary bypass. Recipient cardiectomy was performed, leaving a standard pulmonary atrial cuff and a long cuff of systemic atrial tissue in continuity with the inferior vena cava. Both superior vene cavae were transected off the central pulmonary arteries. C, The pulmonary atrial anastomosis was performed first between the opening between the right pulmonary vein orifices on the donor side and the atrial cuff on the recipient side. The heart was rotated rightward about 45° along its long axis and approximately 30° in the frontal plane. D, The apex thereby rotated approximately 120° and to the right. The anastomosis between the donor and recipient inferior vena cavae was next. The conduit formed by the donor's superior vene cava and innominate vein was anastomosed to the left-sided recipient superior vene cava. A large patch of donor pulmonary artery was used to create a long anastomosis at the main pulmonary artery. Because of the rotation of the heart, the pulmonary artery was transposed to the right side of the aorta. The recipient aortic stump was oversewn, and an end-to-side aortic anastomosis was performed, resulting in mild bowing of the aorta over the underlying innominate vein. The recipient's right-sided superior vene cava was anastomosed directly to the right atrial appendage. The Journal of Thoracic and Cardiovascular Surgery 2010 139, 501-503DOI: (10.1016/j.jtcvs.2008.12.011) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions