Dor V, Jourdan J, Bourlon F, Elbeze J P, Grinneiser D, Isetta C, Montiglio F
Thorac Cardiovasc Surg. 1986 Oct;34(5):295-9. doi: 10.1055/s-2007-1022158.
Twenty-two heterotopic heart transplantations were performed, in 19 of which the evolution of the recipient heart was estimated. Within the first postoperative hours the recipient heart was often more effective than the donor heart. The discrepant rhythm between the 2 hearts did not result in any pathological findings. The increased pressures in the recipient's right heart always decreased, sometimes within several weeks. The left atrial volume was found to be reduced while left ventricular contraction was sometimes unchanged, sometimes improved and in a few cases showed definite improvement with a mean decrease of the ultra-sound diastolic diameter of 20 mm on echocardiography. The technique of heterotopic systems seems to be a useful indication for end-stage cardiomyopathies with pulmonary hypertension (class IV) which is generally considered a contraindication for orthotopic heart transplantation.
共进行了22例异位心脏移植手术，其中19例评估了受体心脏的演变情况。术后最初数小时内，受体心脏往往比供体心脏更有效。两个心脏之间不一致的节律并未导致任何病理结果。受体右心压力升高总是会降低，有时在几周内就会降低。发现左心房容积减小，而左心室收缩有时无变化，有时改善，少数情况下有明显改善，超声心动图显示舒张期直径平均减小20毫米。异位心脏移植技术似乎是晚期心肌病合并肺动脉高压（IV级）的一种有用治疗手段，而肺动脉高压通常被认为是原位心脏移植的禁忌证。
