Orthotopic Heart Transplantation for Congenital Heart Disease with Dextrocardia: A Single-Center Clinic Experience
Joint Authors
Wang, Guohua
Wang, Yixuan
Zhang, Jing
Sun, Yongfeng
Cai, Jie
Liu, Jinping
Dong, Nianguo
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-06-01
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
We report a modified transplantation surgical technique for CHD with dextrocardia which is rare and surgically challenging.
Methods.
From January 2015 to May 2018, 5 patients with end-stage CHD with dextrocardia underwent heart transplantation at our institute.
They were 10, 29, 13, 15, and 22 years old, respectively; 3 of them had dextroversion, and the other 2 had mirror-image dextrocardia and post-TCPC.
The atrial-atrial anastomosis was performed first between the donor’s upper-left PVO and the recipient’s lower-left PVO.
The apex thereby rotated approximately 90° clockwise (to the right).
The end-to-end donor and recipient aortas, vena cava, and pulmonary arteries were then anastomosed.
Results.
The cold ischemic time of the donor heart was 284.6±108.3 min, and the CPB time was 190.2±43.8 min.
The postoperative X-ray showed the apex on the right.
Four patients were successfully discharged, and the follow-up times were 47 months, 36 months, 12 months, and 12 months.
One post-TCPC patient died because of pneumonia and hypoxia at 59 postoperative days.
Conclusions.
Heart transplantation with dextrocardial CHD is rare.
A 90° rotation at the left atrial level, aortic end-to-end anastomosis, and vena cava reconstruction by vascular prosthesis or systemic atrial cuff is a simple and effective surgical strategy.
American Psychological Association (APA)
Wang, Guohua& Wang, Yixuan& Zhang, Jing& Sun, Yongfeng& Cai, Jie& Liu, Jinping…[et al.]. 2020. Orthotopic Heart Transplantation for Congenital Heart Disease with Dextrocardia: A Single-Center Clinic Experience. BioMed Research International،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1133215
Modern Language Association (MLA)
Wang, Guohua…[et al.]. Orthotopic Heart Transplantation for Congenital Heart Disease with Dextrocardia: A Single-Center Clinic Experience. BioMed Research International No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1133215
American Medical Association (AMA)
Wang, Guohua& Wang, Yixuan& Zhang, Jing& Sun, Yongfeng& Cai, Jie& Liu, Jinping…[et al.]. Orthotopic Heart Transplantation for Congenital Heart Disease with Dextrocardia: A Single-Center Clinic Experience. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1133215
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1133215