Korean J Thorac Cardiovasc Surg.  2015 Aug;48(4):277-280. 10.5090/kjtcs.2015.48.4.277.

Heart Transplantation in a Patient with Left Isomerism

Affiliations
  • 1Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea. pkjj@amc.seoul.kr
  • 2Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Korea.

Abstract

We report the case of a 37-year-old man who suffered from biventricular failure due to left isomerism, inferior vena cava interruption with azygos vein continuation, bilateral superior vena cava, double outlet of right ventricle, complete atrioventricular septal defect, pulmonary stenosis, and isolated dextrocardia. Heart transplantation in patients with systemic venous anomalies often requires the correction and reconstruction of the upper & lower venous drainage. We present a case of heart transplantation in a patient with left isomerism, highlighting technical modifications to the procedure, including the unifocalization of the caval veins and reconstruction with patch augmentation.

Keyword

Heart transplantation; Congenital heart disease; Heterotaxy

MeSH Terms

Adult
Azygos Vein
Dextrocardia
Drainage
Heart Defects, Congenital
Heart Transplantation*
Heart Ventricles
Heart*
Humans
Isomerism*
Pulmonary Valve Stenosis
Veins
Vena Cava, Inferior
Vena Cava, Superior
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