Lee Seok In, Choi Chang Hyu, Park Kook Yang, Park Chul-Hyun
Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, South Korea.
Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, South Korea.
Ann Thorac Surg. 2023 Feb;115(2):e59-e61. doi: 10.1016/j.athoracsur.2022.06.012. Epub 2022 Jun 23.
In cases with a large recipient left atrium (LA), matching of the donor and recipient anastomoses can be challenging. In the presented case, this is addressed by reducing the circumference of the recipient LA cuff by extending the pulmonary veins. The inferior pulmonary veins were extended by making neopulmonary veins using the remnant recipient LA cuff; the circumference of the recipient LA cuff could then be reduced to easily make an anastomosis. This new technique could be an alternative method to resolve LA size discrepancies in orthotopic heart transplantation.
在受体左心房（LA）较大的病例中，供体与受体吻合口的匹配可能具有挑战性。在本病例中，通过延长肺静脉来减小受体LA袖口的周长来解决这一问题。利用残余的受体LA袖口制作新肺静脉，延长下肺静脉；然后可以减小受体LA袖口的周长，以便轻松进行吻合。这项新技术可能是解决原位心脏移植中LA大小差异的一种替代方法。
