Neopulmonary Venous Confluence for Heart Transplantation With Giant Left Atrium

被引:1
作者
Soquet, Jerome [1 ,2 ,3 ,4 ]
Mugnier, Agnes [1 ,2 ,3 ,4 ]
Richardson, Marjorie [1 ,2 ,3 ,4 ]
Hebbar, Eleonore [1 ,2 ,3 ,4 ]
Decoene, Christophe [1 ,2 ,3 ,4 ]
Juthier, Francis [1 ,2 ,3 ,4 ]
机构
[1] Univ Lille, CHU Lille, Dept Cardiac Surg, Lille, France
[2] Univ Lille, CHU Lille, Dept Clin Physiol & Echocardiog, Heart Valve Clin, Lille, France
[3] Univ Lille, CHU Lille, Dept Cardiol, Lille, France
[4] Univ Lille, CHU Lille, Dept Cardiovasc Anesthesia & Intens Care, Lille, France
关键词
SIZE MISMATCH;
D O I
10.1016/j.athoracsur.2021.01.017
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Heart transplantation in a recipient with giant left atrium is rare. To correct the mismatch between recipient and donor at the level of the left atrium, plication of the left atrium has been proposed. We report a case in which plication was not feasible owing to significant calcifi-cation of the left atrial wall and tight pericardial adhe-sions resulting from two previous sternotomies. Creating a pulmonary venous confluence allows orthotopic heart transplantation with any size of left atrium and conformation of pulmonary veins in cases of significant calcification or redo sternotomy. (C) 2021 by The Society of Thoracic Surgeons
引用
收藏
页码:E157 / E160
页数:4
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