An alternative technique in management of recipient left superior vena cava in orthotopic heart transplantation

Persistent left superior vena cava (LSVC) is a rare venous anomaly resulting from failed involution of an embryonic vessel.1 The left internal jugular and left subclavian veins thereby join to pass through the left mediastinum, most commonly draining into the coronary sinus (CS). During orthotopic heart transplantation in patients with LSVC, one must consider how to reestablish LSVC drainage. Conventional techniques have required an additional anastomosis to the donor innominate vein, right superior vena cava (SVC), or right atrial appendage.

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Publication Details

Journal
JTCVS Techniques
Published
2024-10-02
DOI
https://doi.org/10.1016/j.xjtc.2024.09.018
Primary Topic
Vascular anomalies and interventions
Type
article
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article

An alternative technique in management of recipient left superior vena cava in orthotopic heart transplantation

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JTCVS Techniques
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An alternative technique in management of recipient left superior vena cava in orthotopic heart transplantation

Jessica S. Clothier, Amy Hackmann, Sanjeet Patel, Anahat Dhillon, Andrew Harding, Serge Kobsa, Jonathan Praeger, Ajay Vaidya, Mark L. Barr, Craig Baker, Raymond Lee, Vaughn A. Starnes
article en

Abstract

Persistent left superior vena cava (LSVC) is a rare venous anomaly resulting from failed involution of an embryonic vessel.1 The left internal jugular and left subclavian veins thereby join to pass through the left mediastinum, most commonly draining into the coronary sinus (CS). During orthotopic heart transplantation in patients with LSVC, one must consider how to reestablish LSVC drainage. Conventional techniques have required an additional anastomosis to the donor innominate vein, right superior vena cava (SVC), or right atrial appendage.

JTCVS TechniquesVol. 28
University of Southern California (US), Brigham and Women's Hospital (US)
Good health and well-being
Openalex Percentile: Top 68%
Vascular anomalies and interventions
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