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