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

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Presentation transcript:

Combined Heart and Single-Lung Transplantation in Complex Congenital Heart Disease James I Fann, Michael K Wilson, James Theodore, Bruce A Reitz The Annals of Thoracic Surgery Volume 65, Issue 3, Pages 823-825 (March 1998) DOI: 10.1016/S0003-4975(98)00012-5

Fig. 1 Diagram of the operative field after explantation of the heart and left lung. Cannulas were placed in the ascending aorta, superior vena cava, and inferior vena cava. The atretic main pulmonary artery was oversewn. Implantation of the heart–single-lung block was accomplished by performing the left bronchial anastomosis; the heart was placed in the pericardial cavity with the left hilum posterior to the phrenic nerve. The remaining anastomoses were performed in the following sequence: right pulmonary vein–left atrial anastomosis, inferior vena caval anastomosis, pulmonary arterial anastomosis, superior vena caval anastomosis, and aortic anastomosis. The Annals of Thoracic Surgery 1998 65, 823-825DOI: (10.1016/S0003-4975(98)00012-5)