"biatrial method - the recipient’s heart is removed with a portion of the native atria (atrial cuff) left in situ to be anastomosed to the donor heart. Therefore there are only four anastomoses: two atria, aorta and pulmonary trunk. The suture line along the atrial cuff is associated with a higher rate of arrhythmias 1. This is the original and fastest procedure."
"bicaval method - the recipient’s heart is removed along with the native atria and multiple anastomoses are made: right atrium to the SVC and IVC and left atrium with the pulmonary veins. Therefore there are more anastomoses and the procedure takes longer than the biatrial method. As the normal anatomy of the atria is maintained there are fewer complications regarding the SA node 2."
"heterotopic (or 'piggy-back') heart transplant - this is an extremely rare type of transplant in which the recipient's native heart is not removed and the deceased donor heart is placed in the recipient's mediastinum on the right of the native heart. The aorta, pulmonary trunk, IVC and SVC of the donor heart are anastomosed to the corresponding vessels of the recipient's native great vessels. It is usually performed for patients with pulmonary hypertension or those with a significant recipient-to-donor size mismatch."
"Post-operative complications"
"bicaval method - the recipient’s heart is removed along with the native atria and multiple anastomoses are made: right atrium to the SVC and IVC and left atrium with the pulmonary veins. Therefore there are more anastomoses and the procedure takes longer than the biatrial method. As the normal anatomy of the atria is maintained there are fewer complications regarding the SA node 2."
"bicaval method - the recipient’s heart is removed along with the native atria and multiple anastomoses are made: right atrium to the SVC and IVC and left atrium with the pulmonary veins. Therefore there are more anastomoses and the procedure takes longer than the biatrial method. As the normal anatomy of the atria is maintained there are fewer complications regarding the SA node 2."
"heterotopic (or 'piggy-back') heart transplant - this is an extremely rare type of transplant in which the recipient's native heart is not removed and the deceased donor heart is placed in the recipient's mediastinum on the right of the native heart. The aorta, pulmonary trunk, IVC and SVC of the donor heart are anastomosed to the corresponding vessels of the recipient's native great vessels. It is usually performed for patients with pulmonary hypertension or those with a significant recipient-to-donor size mismatch."
"solid malignancies, HPV-related cutaneous SCC, EBV-related PTLD; usually 5 years or more post transplant"
"solid malignancies, HPV-related cutaneous SCC, EBV-related PTLD; usually 5 years or more post transplant"
"solid malignancies, HPV-related cutaneous SCC, EBV-related PTLD; usually 5 years or more post transplant"
"solid malignancies, HPV-related cutaneous SCC, EBV-related PTLD; usually 5 years or more post transplant"
"heterotopic (or 'piggy-back') heart transplant - this is an extremely rare type of transplant in which the recipient's native heart is not removed and the deceased donor heart is placed in the recipient's mediastinum on the right of the native heart. The aorta, pulmonary trunk, IVC and SVC of the donor heart are anastomosed to the corresponding vessels of the recipient's native great vessels. It is usually performed for patients with pulmonary hypertension or those with a significant recipient-to-donor size mismatch."
"heterotopic (or 'piggy-back') heart transplant - this is an extremely rare type of transplant in which the recipient's native heart is not removed and the deceased donor heart is placed in the recipient's mediastinum on the right of the native heart. The aorta, pulmonary trunk, IVC and SVC of the donor heart are anastomosed to the corresponding vessels of the recipient's native great vessels. It is usually performed for patients with pulmonary hypertension or those with a significant recipient-to-donor size mismatch."
Expected headings
"Types of heart transplantation"
"Imaging the preoperative patient"
"Post-operative complications"
"There are several indications for transplantation and many require the exhaustion of non-surgical alternatives before transplantation is considered:"
"There are two main types of heart transplantation performed with medial sternotomy 1:"
"biatrial method - the recipient’s heart is removed with a portion of the native atria (atrial cuff) left in situ to be anastomosed to the donor heart. Therefore there are only four anastomoses: two atria, aorta and pulmonary trunk. The suture line along the atrial cuff is associated with a higher rate of arrhythmias 1. This is the original and fastest procedure."
"heterotopic (or 'piggy-back') heart transplant - this is an extremely rare type of transplant in which the recipient's native heart is not removed and the deceased donor heart is placed in the recipient's mediastinum on the right of the native heart. The aorta, pulmonary trunk, IVC and SVC of the donor heart are anastomosed to the corresponding vessels of the recipient's native great vessels. It is usually performed for patients with pulmonary hypertension or those with a significant recipient-to-donor size mismatch."
"coronary allograft vasculopathy (CAV), (chronic rejection), about 50% at 10 years, diagnosed by DSA, CTA or cardiac MRI, usually after the first year"
"opportunist infection; despite prophylaxis, a major cause of death between 6 months to 1 year"
"solid malignancies, HPV-related cutaneous SCC, EBV-related PTLD; usually 5 years or more post transplant"