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KMID : 0364020150480040277
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Korean Journal of Thoracic and Cardiovascular Surgery
2015 Volume.48 No. 4 p.277 ~ p.280
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Heart Transplantation in a Patient with Left Isomerism
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Bang Ji-Hyun
Oh You-Na
Yoo Jae-Suk
Kim Jae-Joong
Park Chun-Soo
Park Jeong-Jun
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Abstract
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We report the case of a 37-year-old man who suffered from biventricular failure due to left isomerism, inferior vena cava interruption with azygos vein continuation, bilateral superior vena cava, double outlet of right ventricle, complete atrioventricular septal defect, pulmonary stenosis, and isolated dextrocardia. Heart transplantation in patients with systemic venous anomalies often requires the correction and reconstruction of the upper & lower venous drainage. We present a case of heart transplantation in a patient with left isomerism, highlighting technical modifications to the procedure, including the unifocalization of the caval veins and reconstruction with patch augmentation.
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KEYWORD
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Heart transplantation, Congenital heart disease, Heterotaxy
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