ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
A comparison of the results of the bicaval and biatrial surgical technique in orthotopic heart transplantation: A review and meta-analysis
İbrahim Kara1, Kaan Kırali2, Cevat Yakut2
1Department of Cardiovascular Surgery, Göztepe Şafak Hospital, İstanbul, Turkey
2Department of Cardiovascular Surgery, Kartal Koşuyolu Heart Education and Research Hospital, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2012.135
Background: This study aims to evaluate the outcomes of bicaval and biatrial techniques in orthotopic heart transplantation.

Methods: Between May 1966 and May 2011, a literature survey was conducted using electronic search engines including PubMed, Medline and Google and manually surveying the magazines on heart and vascular surgery. A total of 36 prospective and retrospective controlled studies which met the inclusion criteria were included in the metaanalysis. The outcomes of both techniques were evaluated using random and fixed-effect method, based on their significant heterogeneous nature. Statistical analysis was performed using Comprehensive Meta Analysis version 2 software.

Results: It was found that the results of eight meta-analyses obtained (tricuspid and mitral insufficiency, the need for permanent or temporary pacemaker, sinus rhythm, survival at 1 and 10 year, the right atrial pressure) were significantly improved in bicaval group, compared to the biatrial group.

Conclusion: Our study results showed that the outcomes of the bicaval technique were better, compared to biatrial technique. We believe that the bicaval anastomosis technique may have a positive effect on morbidity, due to its clinical and hemodynamical benefits.

Keywords : Anastomosis; heart transplantation; meta analysis; review; surgical methods
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