Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Heart Transplantation in a Patient with Persistent Left Superior Vena Cava

  • Lee, Jae-Hong (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Park, Eun-Ah (Department of Radiology, Seoul National University Hospital) ;
  • Lee, Whal (Department of Radiology, Seoul National University Hospital) ;
  • Cho, Hyun-Jai (Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital) ;
  • Kim, Ki-Bong (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Hwang, Ho Young (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital)
  • Received : 2013.10.29
  • Accepted : 2014.02.10
  • Published : 2014.12.05
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Abstract

A 56-year-old male presented with severe exertional dyspnea and pitting edema in the lower extremities. The preoperative 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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References

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Cited by

  1. Persistent Left Superior Vena Cava: Implications of Surgical Management vol.7, pp.None, 2014, https://doi.org/10.1177/2324709619855754
  2. Persistent Left Superior Vena Cava in a Heart Transplant Recipient’s Native Heart: A Rare Case Diagnosed by Transesophageal Echocardiogram vol.24, pp.4, 2014, https://doi.org/10.1177/1089253220922334