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Heart-Lung Transplantation In Situs Inversus Totalis

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Presentation on theme: "Heart-Lung Transplantation In Situs Inversus Totalis"— Presentation transcript:

1 Heart-Lung Transplantation In Situs Inversus Totalis
Tobias Deuse, MD, Bruce A. Reitz, MD  The Annals of Thoracic Surgery  Volume 88, Issue 3, Pages (September 2009) DOI: /j.athoracsur Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Pre-transplant chest x-ray (left) and computed tomography (right). (B) An intraoperative image showing a patient with situs inversus and dextrocardia. (C) Three systemic venous connections to the donor heart-lung bloc were made: recipient left-sided superior vena cava (rLSVC) to donor superior vena cava (dSVC) and innominate vein (behind the aorta [Ao]), recipient right-sided superior vena cava (rRSVC) to donor right atrial appendage, and direct inferior vena cava (IVC) to IVC. (D) Post heart-lung transplant chest x-ray (left) and computed tomography (right); the heart is in its normal levocardia position. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Technique for heart-lung transplantation. (A) The recipient situs is prepared to accommodate the donor heart-lung bloc. (B) Direct anastomoses obviate the need for creation of intracardiac or extracardiac tunnels for systemic venous reconstruction. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

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