Cooley D A, Frazier O H, Macris M P, Duncan J M
J Heart Transplant. 1987 Mar-Apr;6(2):112-5.
A new surgical technique for patients with end-stage pulmonary and cardiopulmonary disease is described. This technique, a heterotopic heart-single lung transplant, limits dissection in the vascular collateralized mediastinum and preserves the carina and left lung. Moreover, it preserves the recipient's heart when the predominant problem is pulmonary. We used this technique in a 34-year-old woman with end-stage cardiopulmonary disease, resulting from pulmonary hypertension, who was referred to the Texas Heart Institute for evaluation as a candidate for a heart-lung transplantation. She had undergone ligation of a large hypertensive patent ductus arteriosus in early childhood. We believe our technique is a potentially viable alternative for selected heart-lung transplant patients.
描述了一种针对终末期肺部和心肺疾病患者的新手术技术。该技术为异位心脏-单肺移植，限制了在血管侧支化纵隔的解剖操作，并保留了气管隆突和左肺。此外，当主要问题是肺部问题时，它保留了受者的心脏。我们对一名34岁患有终末期心肺疾病的女性使用了该技术，该疾病由肺动脉高压引起，她被转诊至德克萨斯心脏研究所评估是否适合进行心肺移植。她在幼儿期曾接受过大型高血压性动脉导管未闭结扎术。我们认为我们的技术对于选定的心肺移植患者是一种潜在可行的替代方法。
