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Simple technique to preserve the LSVC during reoperative orthotopic heart transplant
Scott D Lick1, Daniel L Beckles, Vincent R Conti
1Division of Cardiothoracic Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, Texas 77555-0528, USA. slick@utmb.edu
Insights
Heart transplant surgery in patients with a persistent left superior vena cava (LSVC) can be complex. A novel technique simplifies preserving coronary sinus drainage in reoperative cases, overcoming challenges from adhesions.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Medical Devices
Background:
- Reoperative heart transplantation is increasingly common.
- Persistent left superior vena cava (LSVC) presents unique surgical challenges.
- Adhesions from prior surgeries complicate LSVC management during heart transplant.
Abstract:
Increasingly, patients undergo heart transplant after previous heart surgery. In patients with a persistent left superior vena cava (LSVC), the preferred technique, preservation of drainage via the native coronary sinus, can be difficult in reoperative cases due to adhesions. We report a technique simplifying this operation in such a patient.
