Heart-lung transplantation in situs inversus totalis

Ann Thorac Surg. 2009 Sep;88(3):1002-3. doi: 10.1016/j.athoracsur.2009.01.060.

Abstract

Situs inversus totalis is a condition with left-to-right reversal of the viscera combined with dextrocardia. It has long been regarded a contraindication for thoracic transplantation. Reconstruction of the mirror-image systemic venous pathways to accommodate normal donor organs remains the main surgical challenge. Here we present our simplified surgical technique for combined heart-lung transplantation and provide a concise review of the literature.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Anastomosis, Surgical / methods
  • Atrial Appendage / surgery
  • Brachiocephalic Veins / surgery
  • Dextrocardia / diagnosis
  • Dextrocardia / surgery*
  • Eisenmenger Complex / diagnosis
  • Eisenmenger Complex / surgery*
  • Female
  • Heart-Lung Transplantation / methods*
  • Humans
  • Postoperative Complications / diagnostic imaging
  • Reoperation
  • Situs Inversus / diagnosis
  • Situs Inversus / surgery*
  • Tomography, X-Ray Computed
  • Vena Cava, Inferior / surgery
  • Vena Cava, Superior / surgery