Heart Transplantation in a Patient with Left Isomerism

• Main Authors: Ji Hyun Bang, You Na Oh, Jae Suk Yoo, Jae-Joong Kim, Chun Soo Park, Jeong-Jun Park
• Format: Article
• Language: English
• Published: Korean Society for Thoracic and Cardiovascular Surgery 2015-08-01
• Series: Korean Journal of Thoracic and Cardiovascular Surgery
• Subjects: Heart transplantation; Congenital heart disease; Heterotaxy
• Online Access: http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2015.48.4.277

We report the case of a 37-year-old man who suffered from biventricular failure due to left isomerism, inferior vena cava interruption with azygos vein continuation, bilateral superior vena cava, double outlet of right ventricle, complete atrioventricular septal defect, pulmonary stenosis, and isolated dextrocardia. Heart transplantation in patients with systemic venous anomalies often requires the correction and reconstruction of the upper & lower venous drainage. We present a case of heart transplantation in a patient with left isomerism, highlighting technical modifications to the procedure, including the unifocalization of the caval veins and reconstruction with patch augmentation.