Perioperative Management of a Donation After Circulatory Death Heart Transplant in a Recipient With a Persistent Left Superior Vena Cava

被引：0
|
作者：
Long, Sloan [1 ]
Sorrels, Cole [1 ]
Ramamoorthy, Saravanan [2 ,3 ]
Machannaford, Juan C. [2 ,4 ]
机构：
[1] Texas A&M Coll Med, Coll Med, Dallas, TX 77807 USA
[2] US Anesthesia Partners, Anesthesiol & Perioperat Med, Dallas, TX USA
[3] Baylor Univ, Anesthesiol, Med Ctr, Dallas, TX USA
[4] Med City Healthcare, Anesthesiol, Dallas, TX USA
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2023年 / 15卷 / 11期
关键词：
paroxsymal atrial fibrillation; nonischemic cardiomyopathy; heart failure with reduced ejection fraction; prosthetic graft; orthotopic heart transplant; persistent left superior vena cava (plsvc); donation after circulatory death (dcd); implantable cardioverter-defibrillator (icd);
D O I：
10.7759/cureus.48459
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 60-year-old male with end-stage heart failure due to non-ischemic cardiomyopathy and mitral regurgitation presented for a donation after circulatory death (DCD) orthotopic heart transplantation. Intraoperatively, a persistent left superior vena cava (PLSVC), absent innominate vein, and small right superior vena cava were discovered. A bicaval technique was performed, using an interconnecting prosthetic conduit to anastomose the PLSVC with the right atrial appendage and an interposition graft to the native R SVC. After surgery, a transthoracic echocardiogram showed a left ventricular ejection fraction of 60-65% and improved systolic function. The postoperative course was uneventful, with discharge home after 16 days.
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页数：4
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