Smith Ronald D, Radovancevic Branislav, Gregoric Igor D, Cohn William E, Frazier O H
Department of Cardiovascular Surgery, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77225-0345, USA.
J Heart Lung Transplant. 2006 Feb;25(2):245-7. doi: 10.1016/j.healun.2005.08.011. Epub 2005 Dec 9.
We report 3 patients who initially underwent heterotopic transplantation due to a size mismatch but then later underwent orthotopic retransplantation because of heart failure. In each case, the heterotopic graft was left in place, the native heart was removed, and the new allograft was placed orthotopically. This technique resulted in reduced postoperative morbidity and excellent long-term outcomes.
我们报告了3例患者,他们最初因尺寸不匹配而接受了异位移植,但后来因心力衰竭而接受了原位再次移植。在每例病例中,异位移植的心脏保留原位,切除自体心脏,将新的同种异体心脏原位植入。该技术降低了术后发病率,并带来了优异的长期效果。