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Left atrial plication for heart transplantation in patients with giant left atrium
Howard K Song1, Frederick A Tibayan, Steven W Guyton
1Division of Cardiothoracic Surgery, Oregon Health and Science University, Portland, OR 97239, USA. songh@ohsu.edu
Abstract:
Giant left atrium occasionally occurs in patients undergoing heart transplantation and causes a technical challenge for the surgeon because of the substantial discrepancy in size between the left atrial cuffs of the recipient and donor. We describe a left atrial plication technique that substantially reduces this discrepancy and allows for a standard left atrial anastomosis to be performed without any other modifications in technique.
