Orthotopic heart transplantation with reconstruction of persistent left superior vena cava
Abstract Background Persistent left superior vena cava is a not uncommon congenital vascular abnormality. We report a case of heart transplantation with reconstruction of persistent left superior vena cava using a prosthetic vascular graft. Case presentation A 20-year-old man with idiopathic dilated...
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| Format: | Article |
| Language: | English |
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Japan Surgical Society
2020-04-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-020-00834-9 |
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| author | Kazuma Handa Hiroki Hata Koichi Toda Shigeru Miyagawa Yasushi Yoshikawa Daisuke Yoshioka Yoshiki Sawa |
| author_facet | Kazuma Handa Hiroki Hata Koichi Toda Shigeru Miyagawa Yasushi Yoshikawa Daisuke Yoshioka Yoshiki Sawa |
| author_sort | Kazuma Handa |
| collection | DOAJ |
| description | Abstract Background Persistent left superior vena cava is a not uncommon congenital vascular abnormality. We report a case of heart transplantation with reconstruction of persistent left superior vena cava using a prosthetic vascular graft. Case presentation A 20-year-old man with idiopathic dilated cardiomyopathy and persistent left superior vena cava underwent orthotopic heart transplantation 2 years and 3 months after left ventricular assist device implantation. Because the persistent left superior vena cava had a larger diameter than the right superior vena cava, the transected persistent left superior vena cava was reconstructed with a prosthetic vascular graft anastomosed to the free wall of the right atrium. Postoperative enhanced computed tomography revealed good patency of the graft. The patient’s postoperative course has been uneventful during 2 years of follow-up, despite the risk of complications. Conclusions Reconstruction of a persistent left superior vena cava with a prosthetic vascular graft may be one option at the time of heart transplantation. |
| format | Article |
| id | doaj-art-08bf9b8d6e9d48cdbdefa4af4538d36b |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2020-04-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-08bf9b8d6e9d48cdbdefa4af4538d36b2025-08-20T02:41:46ZengJapan Surgical SocietySurgical Case Reports2198-77932020-04-01611410.1186/s40792-020-00834-9Orthotopic heart transplantation with reconstruction of persistent left superior vena cavaKazuma Handa0Hiroki Hata1Koichi Toda2Shigeru Miyagawa3Yasushi Yoshikawa4Daisuke Yoshioka5Yoshiki Sawa6Department of Cardiovascular Surgery, Osaka University Graduate School of MedicineDepartment of Cardiovascular Surgery, Osaka University Graduate School of MedicineDepartment of Cardiovascular Surgery, Osaka University Graduate School of MedicineDepartment of Cardiovascular Surgery, Osaka University Graduate School of MedicineDepartment of Cardiovascular Surgery, Osaka University Graduate School of MedicineDepartment of Cardiovascular Surgery, Osaka University Graduate School of MedicineDepartment of Cardiovascular Surgery, Osaka University Graduate School of MedicineAbstract Background Persistent left superior vena cava is a not uncommon congenital vascular abnormality. We report a case of heart transplantation with reconstruction of persistent left superior vena cava using a prosthetic vascular graft. Case presentation A 20-year-old man with idiopathic dilated cardiomyopathy and persistent left superior vena cava underwent orthotopic heart transplantation 2 years and 3 months after left ventricular assist device implantation. Because the persistent left superior vena cava had a larger diameter than the right superior vena cava, the transected persistent left superior vena cava was reconstructed with a prosthetic vascular graft anastomosed to the free wall of the right atrium. Postoperative enhanced computed tomography revealed good patency of the graft. The patient’s postoperative course has been uneventful during 2 years of follow-up, despite the risk of complications. Conclusions Reconstruction of a persistent left superior vena cava with a prosthetic vascular graft may be one option at the time of heart transplantation.http://link.springer.com/article/10.1186/s40792-020-00834-9Persistent left superior vena cavaOrthotopic heart transplantation |
| spellingShingle | Kazuma Handa Hiroki Hata Koichi Toda Shigeru Miyagawa Yasushi Yoshikawa Daisuke Yoshioka Yoshiki Sawa Orthotopic heart transplantation with reconstruction of persistent left superior vena cava Surgical Case Reports Persistent left superior vena cava Orthotopic heart transplantation |
| title | Orthotopic heart transplantation with reconstruction of persistent left superior vena cava |
| title_full | Orthotopic heart transplantation with reconstruction of persistent left superior vena cava |
| title_fullStr | Orthotopic heart transplantation with reconstruction of persistent left superior vena cava |
| title_full_unstemmed | Orthotopic heart transplantation with reconstruction of persistent left superior vena cava |
| title_short | Orthotopic heart transplantation with reconstruction of persistent left superior vena cava |
| title_sort | orthotopic heart transplantation with reconstruction of persistent left superior vena cava |
| topic | Persistent left superior vena cava Orthotopic heart transplantation |
| url | http://link.springer.com/article/10.1186/s40792-020-00834-9 |
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