Korean J Thorac Cardiovasc Surg.
2014 Dec;47(6):533-535. 10.5090/kjtcs.2014.47.6.533.
Heart Transplantation in a Patient with Persistent Left Superior Vena Cava
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Korea. scalpel@hanmail.net
- 2Department of Radiology, Seoul National University Hospital, Korea.
- 3Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, Korea.
- KMID: 2382206
- DOI: http://doi.org/10.5090/kjtcs.2014.47.6.533
Abstract
- A 56-year-old male presented with severe exertional dyspnea and pitting edema in the lower extremities. The pre-operative evaluation demonstrated biventricular dysfunction associated with severe tricuspid valve regurgitation and a persistent left superior vena cava. He was registered as a transplantation candidate, and orthotopic heart transplantation was performed using the standard bicaval technique. The left superior vena cava was connected to the right atrial appendage after the construction of a conduit using the recipient's autologous coronary sinus tissue. One-month postoperatively, computed tomography imagery demonstrated a patent conduit between the left superior vena cava and right atrial appendage.
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