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Orthotopic Cardiac Transplantation after Inter-caval Anastomosis in a Patient with Hypertrophic Cardiomyopathy and Persistent Left Superior Vena Cava

지속성 좌상대정맥을 가진 비후성 심근증 환자에서의 양측상대정맥 문합술 후 심장이식술

  • Joo, Seok (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Gwan-Sic (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lim, Ju-Yong (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Seung-Hyun (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Cho, Won-Chul (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Jae-Jung (Department of Cardiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Yun, Tae-Jin (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • 주석 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 김관식 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 임주영 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 이승현 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 조원철 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 김재중 (울산대학교 의과대학 서울아산병원 심장내과학교실) ;
  • 윤태진 (울산대학교 의과대학 서울아산병원 흉부외과학교실)
  • Received : 2010.04.07
  • Accepted : 2010.07.30
  • Published : 2010.10.05

Abstract

Cardiac transplantation in a patient with persistent left superior vena cava (SVC) necessitates unifocalization of the caval veins. Here we report a successful case of orthotopic heart transplantation in a patient with hypertrophic cardiomyopathy and persistent left SVC. Cardiac transplantation was done after the left SVC was anastomosed to the right SVC in an end to side fashion. The postoperative course was uneventful, and the patient is currently in an excellent clinical condition.

지속성 좌상대정맥을 가진 환자에서의 심장 이식술은 양측상대정맥의 단일화 과정이 필요하다. 저자들은 양측상대정맥을 동반한 비후성 심근증 환자에서 양측상대정맥 문합술을 통한 상대정맥 단일화 수술 후 심장이식을 시행하여 양호한 성적을 얻었으므로 보고하는 바이다.

Keywords

References

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Cited by

  1. Heart Transplantation in a Patient with Left Isomerism vol.48, pp.4, 2010, https://doi.org/10.5090/kjtcs.2015.48.4.277
  2. Heart transplant in a patient with persistent left superior vena cava vol.22, pp.4, 2021, https://doi.org/10.15825/1995-1191-2020-4-168-172