Heart Transplantation After Fontan's Procedure with Bilateral Cavopulmonary Connections

 

 Buy Article Permissions and Reprints All articles of this category

Abstract

We present a young female patient with three caval drainages after complete Fontan's procedure and with bilateral bidirectional cavopulmonary connections who underwent orthotopic heart transplantation. Instead of reconstructing the hypoplastic innominate vein the persistent left superior caval vein was reanastomosed via the recipient's coronary sinus into the right atrium.

References

• 1 Michielon G, Parisi F, Di Carlo D. et al . Orthotopic heart transplantation for failing single ventricle physiology.  Eur J Cardiothorac Surg. 2003;  24 502-510 510 (discussion)
  CrossrefPubMedGoogle Scholar
• 2 Carey J A, Hamilton J R, Hilton C J. et al . Orthotopic cardiac transplantation for the failing Fontan circulation.  Eur J Cardiothorac Surg. 1998;  14 7-13 13-14 (discussion)
  PubMedGoogle Scholar
• 3 Brickner M E, Eichhorn E J, Netto D. et al . Left-sided inferior vena cava draining into the coronary sinus via persistent left superior vena cava: case report and review of the literature.  Cathet Cardiovasc Diagn. 1990;  20 189-192
  PubMedGoogle Scholar
• 4 Arguero R, Careaga G, Castano R, Garrido M, Sanchez O. Orthotopic heart transplantation for dilated cardiomyopathy in a patient with persistent left superior vena cava and atresia of the right superior vena cava.  J Cardiovasc Surg (Torino). 1997;  38 403-405
  PubMedGoogle Scholar
• 5 Rabago G, Martin-Trenor A, Lopez-Coronado J L, Macias A, Cosin-Sales J, Herreros J M. Bicaval anastomosis in a heart transplant recipient with left superior vena cava.  Ann Thorac Surg. 2002;  74 1242-1244
  CrossrefPubMedGoogle Scholar
• 6 Quinn R D, Myers J L, Pae Jr W E, Clemson B S, Davis D. Orthotopic heart transplantation with preoperative unsuspected left superior vena cava and absence of right superior vena cava.  J Heart Lung Transplant. 1992;  11 147-151
  PubMedGoogle Scholar
• 7 Spray T L, Huddleston C B, Canter C E. Technique of transplantation for hypoplastic left heart syndrome with left superior vena cava.  Ann Thorac Surg. 1993;  55 779-781
  PubMedGoogle Scholar

Tonny D. T. Tjan

Department of Thoracic and Cardiovascular Surgery
University Hospital Muenster

Albert-Schweitzer-Straße 33

48149 Muenster

Germany

Phone: + 492518347401

Fax: + 49 25 18 34 83 16

Email: st.d.t.tjan@ukmuenster.de