Left Atrial Plication for Heart Transplantation in Patients with Giant Left Atrium

Authors

  • Howard K. Song
  • Frederick A. Tibayan
  • Steven W. Guyton
  • Matthew S. Slater

DOI:

https://doi.org/10.1532/HSF98.20121098

Abstract

Giant left atrium occasionally occurs in patients undergoing heart transplantation and causes a technical challenge for the surgeon because of the substantial discrepancy in size between the left atrial cuffs of the recipient and donor. We describe a left atrial plication technique that substantially reduces this discrepancy and allows for a standard left atrial anastomosis to be performed without any other modifications in technique.

References

Lower RR, Shumway NE. 1960. Studies on orthotopic homotransplantation of the canine heart. Surg Forum 11:18-9.nSievers HH, Weyand M, Kraatz EG, Bernhard A. 1991. An alternative technique for orthotopic cardiac transplantation, with preservation of the normal anatomy of the right atrium. Thorac Cardiovasc Surg 39:70-2.nDi Eusanio G, Gregorini R, Mazzola A, et al. 1988. Giant left atrium and mitral valve replacement: risk factor analysis. Eur J Cardiothorac Surg 2:151-9.nDreyfus G, Jebara V, Mihaileanu S, Carpentier AF. 1991. Total orthotopic heart transplantation: an alternative to the standard technique. Ann Thorac Surg 52:1181-4.nLiao KK, Bolman RM 3rd. 2004. Operative techniques in orthotopic heart transplantation. Semin Thorac Cardiovasc Surg 16:370-7.n

Published

2012-12-21

How to Cite

Song, H. K., Tibayan, F. A., Guyton, S. W., & Slater, M. S. (2012). Left Atrial Plication for Heart Transplantation in Patients with Giant Left Atrium. The Heart Surgery Forum, 15(6), E320-E322. https://doi.org/10.1532/HSF98.20121098

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