ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
A new technique to repair short vena cava inferior in heart transplantation
Mehmet Balkanay1, Levent Yılık1, Orhan Gökalp1, Börteçin Eygi2, Yüksel Beşir2, Nagihan Karahan3, Ali Gürbüz1
1Department of Cardiovascular Surgery, Medical Faculty of İzmir Katip Çelebi University, İzmir, Turkey
2Departments of Cardiovascular Surgery, Medical Faculty of İzmir Katip Çelebi University, Training and Research Hospital, İzmir, Turkey
3Departments of Anaesthesiology and Reanimation, Medical Faculty of İzmir Katip Çelebi University, Training and Research Hospital, İzmir, Turkey
DOI : 10.5606/tgkdc.dergisi.2016.12924
In heart transplantation, surgical techniques and their long-term results are well-established in four decades. Although it may vary individually, a surgeon may still face surgical obstacles such as short vena cava inferior. This poses particularly a greater problem when using bicaval technique during surgery. Leading causes for short vena cava are donor-recipient size mismatch; inappropriate donor cardiectomy technique or extreme tissue adhesions in redo surgeries. In such cases, a simple patch can be used to repair the missing part of vena cava inferior. In this article, we report a 57-year-old male patient in whom we used a tubular patch, which was prepared from the recipient’s atrial tissue in bicaval orthotopic heart transplantation.
Keywords : Heart; short vena kava; transplantation
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