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KMID : 0364020140470060533
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Korean Journal of Thoracic and Cardiovascular Surgery
2014 Volume.47 No. 6 p.533 ~ p.535
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Heart Transplantation in a Patient with Persistent Left Superior Vena Cava
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Lee Jae-Hong
Park Eun-Ah
Lee Whal
Cho Hyun-Jai
Kim Ki-Bong
Hwang Ho-Young
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Abstract
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A 56-year-old male presented with severe exertional dyspnea and pitting edema in the lower extremities. The pre-operative 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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KEYWORD
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Heart transplantation, Tricuspid valve
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