Orthotopic heart transplantation with persistent left superior vena cava draining into coronary sinus: the anterior rerouting technique
Background We present a surgical technique for a reconstruction of a persistent left superior vena cava draining into the coronary sinus with orthotopic heart transplantation. Methods Between January 2013 and July 2019, a total of 224 patients underwent orthotopic heart transplantation in our instit...
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| Veröffentlicht in: | General thoracic and cardiovascular surgery 2021-04, Vol.69 (4), p.673-678 |
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| creator | Koda, Yojiro Nishida, Hidefumi Jeevanandam, Valluvan Ota, Takeyoshi |
| description | Background
We present a surgical technique for a reconstruction of a persistent left superior vena cava draining into the coronary sinus with orthotopic heart transplantation.
Methods
Between January 2013 and July 2019, a total of 224 patients underwent orthotopic heart transplantation in our institution. Among them, three patients (3/224, 1.3%) had a persistent left superior vena cava draining into the coronary sinus. The persistent left superior vena cava and the coronary sinus was isolated and fully mobilized as an en bloc conduit at the time of explanting the heart. After the standard anastomoses using the bicaval technique, the conduit was routed anterior to the great vessels and anastomosed to the right atrial appendage. A smooth venous drainage into the right atrium from the rerouted persistent left superior vena cava was intraoperatively confirmed by transesophageal echocardiography.
Results
The postoperative course was uneventful in all patients. There were no major postoperative complication and in-hospital mortality. The routed persistent left superior vena cava-coronary sinus conduits were confirmed to be patent without stenosis/obstruction by an enhanced computed tomography. Cardiac biopsies through the reconstructed persistent left superior vena cava were possible without any difficulty.
Conclusion
The anterior rerouting technique for a reconstruction of a persistent left superior vena cava draining into the coronary sinus in an orthotopic heart transplantation was feasible and reproducible. |
| doi_str_mv | 10.1007/s11748-020-01505-0 |
| format | Article |
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We present a surgical technique for a reconstruction of a persistent left superior vena cava draining into the coronary sinus with orthotopic heart transplantation.
Methods
Between January 2013 and July 2019, a total of 224 patients underwent orthotopic heart transplantation in our institution. Among them, three patients (3/224, 1.3%) had a persistent left superior vena cava draining into the coronary sinus. The persistent left superior vena cava and the coronary sinus was isolated and fully mobilized as an en bloc conduit at the time of explanting the heart. After the standard anastomoses using the bicaval technique, the conduit was routed anterior to the great vessels and anastomosed to the right atrial appendage. A smooth venous drainage into the right atrium from the rerouted persistent left superior vena cava was intraoperatively confirmed by transesophageal echocardiography.
Results
The postoperative course was uneventful in all patients. There were no major postoperative complication and in-hospital mortality. The routed persistent left superior vena cava-coronary sinus conduits were confirmed to be patent without stenosis/obstruction by an enhanced computed tomography. Cardiac biopsies through the reconstructed persistent left superior vena cava were possible without any difficulty.
Conclusion
The anterior rerouting technique for a reconstruction of a persistent left superior vena cava draining into the coronary sinus in an orthotopic heart transplantation was feasible and reproducible.</description><identifier>ISSN: 1863-6705</identifier><identifier>EISSN: 1863-6713</identifier><identifier>DOI: 10.1007/s11748-020-01505-0</identifier><identifier>PMID: 33040256</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Cardiac Surgery ; Cardiology ; Cardiomyopathy ; Coronary Sinus - diagnostic imaging ; Coronary Sinus - surgery ; Coronary vessels ; Drainage ; Heart Atria ; Heart Transplantation ; Heart transplants ; Humans ; Ischemia ; Medicine ; Medicine & Public Health ; Mortality ; Original Article ; Patients ; Persistent Left Superior Vena Cava ; Pulmonary arteries ; Surgical Oncology ; Surgical techniques ; Thoracic Surgery ; Tomography ; Veins & arteries ; Vena Cava, Superior - diagnostic imaging ; Vena Cava, Superior - surgery</subject><ispartof>General thoracic and cardiovascular surgery, 2021-04, Vol.69 (4), p.673-678</ispartof><rights>The Japanese Association for Thoracic Surgery 2020</rights><rights>The Japanese Association for Thoracic Surgery 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-201e4ba8bdb7cbd503c59937b6d2b7bb9a8dacf32da63994535f6c1c4a3ea8463</citedby><cites>FETCH-LOGICAL-c399t-201e4ba8bdb7cbd503c59937b6d2b7bb9a8dacf32da63994535f6c1c4a3ea8463</cites><orcidid>0000-0002-3980-0684</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11748-020-01505-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918740645?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,21387,21388,27923,27924,33529,33530,33743,33744,41487,42556,43658,43804,51318,64384,64386,64388,72240</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33040256$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koda, Yojiro</creatorcontrib><creatorcontrib>Nishida, Hidefumi</creatorcontrib><creatorcontrib>Jeevanandam, Valluvan</creatorcontrib><creatorcontrib>Ota, Takeyoshi</creatorcontrib><title>Orthotopic heart transplantation with persistent left superior vena cava draining into coronary sinus: the anterior rerouting technique</title><title>General thoracic and cardiovascular surgery</title><addtitle>Gen Thorac Cardiovasc Surg</addtitle><addtitle>Gen Thorac Cardiovasc Surg</addtitle><description>Background
We present a surgical technique for a reconstruction of a persistent left superior vena cava draining into the coronary sinus with orthotopic heart transplantation.
Methods
Between January 2013 and July 2019, a total of 224 patients underwent orthotopic heart transplantation in our institution. Among them, three patients (3/224, 1.3%) had a persistent left superior vena cava draining into the coronary sinus. The persistent left superior vena cava and the coronary sinus was isolated and fully mobilized as an en bloc conduit at the time of explanting the heart. After the standard anastomoses using the bicaval technique, the conduit was routed anterior to the great vessels and anastomosed to the right atrial appendage. A smooth venous drainage into the right atrium from the rerouted persistent left superior vena cava was intraoperatively confirmed by transesophageal echocardiography.
Results
The postoperative course was uneventful in all patients. There were no major postoperative complication and in-hospital mortality. The routed persistent left superior vena cava-coronary sinus conduits were confirmed to be patent without stenosis/obstruction by an enhanced computed tomography. Cardiac biopsies through the reconstructed persistent left superior vena cava were possible without any difficulty.
Conclusion
The anterior rerouting technique for a reconstruction of a persistent left superior vena cava draining into the coronary sinus in an orthotopic heart transplantation was feasible and reproducible.</description><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Cardiomyopathy</subject><subject>Coronary Sinus - diagnostic imaging</subject><subject>Coronary Sinus - surgery</subject><subject>Coronary vessels</subject><subject>Drainage</subject><subject>Heart Atria</subject><subject>Heart Transplantation</subject><subject>Heart transplants</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mortality</subject><subject>Original Article</subject><subject>Patients</subject><subject>Persistent Left Superior Vena Cava</subject><subject>Pulmonary arteries</subject><subject>Surgical Oncology</subject><subject>Surgical techniques</subject><subject>Thoracic Surgery</subject><subject>Tomography</subject><subject>Veins & arteries</subject><subject>Vena Cava, Superior - diagnostic imaging</subject><subject>Vena Cava, Superior - surgery</subject><issn>1863-6705</issn><issn>1863-6713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kcFO3DAQhi1UVOi2L9BDZakXLqHjOHaS3ipECxISF3q2bGdCjHbt1Hao-gS8Nt4GqMShJ1v2N9_M6CfkI4NTBtB-SYy1TVdBDRUwAaKCA3LMOskr2TL-5uUO4oi8S-kOQMiOibfkiHNooBbymDxcxzyFHGZn6YQ6Zpqj9mneap91dsHT3y5PdMaYXMroM93imGlayosLkd6j19Tqe02HqJ13_pY6nwO1IQav4x-anF_SV5onpEW5FkWMYcl7NqOdvPu14HtyOOptwg9P54b8_H5-c3ZRXV3_uDz7dlVZ3ve5qoFhY3RnBtNaMwjgVvQ9b40catMa0-tu0Hbk9aBlKWgEF6O0zDaao-4ayTfkZPXOMZS2KaudSxa3ZV8MS1J1IwCgEwwK-vkVeheW6Mt0qu5Z1zYgi39D6pWyMaQUcVRzdLuyuWKg9jGpNSZVYlJ_Y1J79acn9WJ2OLyUPOdSAL4CqXz5W4z_ev9H-wiED6Ez</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Koda, Yojiro</creator><creator>Nishida, Hidefumi</creator><creator>Jeevanandam, Valluvan</creator><creator>Ota, Takeyoshi</creator><general>Springer Singapore</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3980-0684</orcidid></search><sort><creationdate>20210401</creationdate><title>Orthotopic heart transplantation with persistent left superior vena cava draining into coronary sinus: the anterior rerouting technique</title><author>Koda, Yojiro ; Nishida, Hidefumi ; Jeevanandam, Valluvan ; Ota, Takeyoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-201e4ba8bdb7cbd503c59937b6d2b7bb9a8dacf32da63994535f6c1c4a3ea8463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Cardiomyopathy</topic><topic>Coronary Sinus - diagnostic imaging</topic><topic>Coronary Sinus - surgery</topic><topic>Coronary vessels</topic><topic>Drainage</topic><topic>Heart Atria</topic><topic>Heart Transplantation</topic><topic>Heart transplants</topic><topic>Humans</topic><topic>Ischemia</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mortality</topic><topic>Original Article</topic><topic>Patients</topic><topic>Persistent Left Superior Vena Cava</topic><topic>Pulmonary arteries</topic><topic>Surgical Oncology</topic><topic>Surgical techniques</topic><topic>Thoracic Surgery</topic><topic>Tomography</topic><topic>Veins & arteries</topic><topic>Vena Cava, Superior - diagnostic imaging</topic><topic>Vena Cava, Superior - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koda, Yojiro</creatorcontrib><creatorcontrib>Nishida, Hidefumi</creatorcontrib><creatorcontrib>Jeevanandam, Valluvan</creatorcontrib><creatorcontrib>Ota, Takeyoshi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>General thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Koda, Yojiro</au><au>Nishida, Hidefumi</au><au>Jeevanandam, Valluvan</au><au>Ota, Takeyoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Orthotopic heart transplantation with persistent left superior vena cava draining into coronary sinus: the anterior rerouting technique</atitle><jtitle>General thoracic and cardiovascular surgery</jtitle><stitle>Gen Thorac Cardiovasc Surg</stitle><addtitle>Gen Thorac Cardiovasc Surg</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>69</volume><issue>4</issue><spage>673</spage><epage>678</epage><pages>673-678</pages><issn>1863-6705</issn><eissn>1863-6713</eissn><abstract>Background
We present a surgical technique for a reconstruction of a persistent left superior vena cava draining into the coronary sinus with orthotopic heart transplantation.
Methods
Between January 2013 and July 2019, a total of 224 patients underwent orthotopic heart transplantation in our institution. Among them, three patients (3/224, 1.3%) had a persistent left superior vena cava draining into the coronary sinus. The persistent left superior vena cava and the coronary sinus was isolated and fully mobilized as an en bloc conduit at the time of explanting the heart. After the standard anastomoses using the bicaval technique, the conduit was routed anterior to the great vessels and anastomosed to the right atrial appendage. A smooth venous drainage into the right atrium from the rerouted persistent left superior vena cava was intraoperatively confirmed by transesophageal echocardiography.
Results
The postoperative course was uneventful in all patients. There were no major postoperative complication and in-hospital mortality. The routed persistent left superior vena cava-coronary sinus conduits were confirmed to be patent without stenosis/obstruction by an enhanced computed tomography. Cardiac biopsies through the reconstructed persistent left superior vena cava were possible without any difficulty.
Conclusion
The anterior rerouting technique for a reconstruction of a persistent left superior vena cava draining into the coronary sinus in an orthotopic heart transplantation was feasible and reproducible.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>33040256</pmid><doi>10.1007/s11748-020-01505-0</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-3980-0684</orcidid></addata></record> |
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| identifier | ISSN: 1863-6705 |
| ispartof | General thoracic and cardiovascular surgery, 2021-04, Vol.69 (4), p.673-678 |
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| source | MEDLINE; ProQuest Central (Alumni Edition); ProQuest Central UK/Ireland; SpringerLink Journals - AutoHoldings; ProQuest Central |
| subjects | Cardiac Surgery Cardiology Cardiomyopathy Coronary Sinus - diagnostic imaging Coronary Sinus - surgery Coronary vessels Drainage Heart Atria Heart Transplantation Heart transplants Humans Ischemia Medicine Medicine & Public Health Mortality Original Article Patients Persistent Left Superior Vena Cava Pulmonary arteries Surgical Oncology Surgical techniques Thoracic Surgery Tomography Veins & arteries Vena Cava, Superior - diagnostic imaging Vena Cava, Superior - surgery |
| title | Orthotopic heart transplantation with persistent left superior vena cava draining into coronary sinus: the anterior rerouting technique |
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