Skip to main content
SpringerLink
Log in

Techniques of Cardiac Transplantation in Adults

  • Chapter
Cardiac Transplantation

Part of the book series: Contemporary Cardiology ((CONCARD))

Abstract

Shumway and Lower introduced orthotopic heart transplant in 1960, and the technique they described has had few changes since its inception (1). This chapter reviews the surgical techniques and their modifications and also reviews our approach to the transplant recipient at surgery time. It is worth noting that the majority of our transplant recipients have had previous cardiac surgical procedures; therefore, heart transplantation is as much about the techniques of reoperations as it is about the techniques of transplantation itself. Despite this added layer of complexity, 1-, 3-, 5-, and 10-yr survivals of 84, 79, 72, and 53%, respectively, are attainable (2).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Shumway NE, Lower R, Stofer RC. Transplantation of the heart. Adv Surg 1966; 2: 265–284.

    PubMed  CAS  Google Scholar 

  2. Robbins RC, Barlow CW, Oyer PE, et al. Thirty years of cardiac transplantation at Stanford University. J Thorac Cardiovasc Surg 1999; 117 (5): 939–951.

    Article  PubMed  CAS  Google Scholar 

  3. Shumway SJ, Shumway NE. Thoracic Transplantation. Blackwell Science, Inc., Oxford, England. 1995, pp. 163–180.

    Google Scholar 

  4. Kapoor AS, Laks H. Atlas of Heart—Lung Transplantation. McGraw Hill, Inc., New York, NY. 1994, pp. 51–85, 103–116.

    Google Scholar 

  5. Kirklin JW, Barratt-Boyes BG. Cardiac Surgery. 2nd ed., Churchill Livingstone, Philadelphia, PA. 1993, pp. 1658–1667.

    Google Scholar 

  6. Losman JG, Barnard CN. Hemodynamic evaluation of left ventricular bypass with a homologous cardiac graft. J Thorac Cardiovasc Surg 1977; 74: 695–708.

    PubMed  CAS  Google Scholar 

  7. Lower RR, Stofer RC, Shumway NE. Homovital transplantation of the heart. J Thorac Cardiovasc Surg 1961; 41: 196.

    PubMed  CAS  Google Scholar 

  8. Angermann CE, Spes CH, Tammen A, et al. Anatomic characteristics and valvular function of the transplanted hearts: transthoracic versus transesophageal findings. J Heart Transplant 1990; 9: 331–338.

    PubMed  CAS  Google Scholar 

  9. Stevenson LW, Dadourian BJ, Kobashigawa J, et al. Mitral regurgitation after cardiac transplantation. Am J Cardiol 1987; 60: 119–122.

    Article  PubMed  CAS  Google Scholar 

  10. Sievers HH, Leyh R, Jahnke A, et al. Bicaval versus atrial anastomoses in cardiac transplantation. J Thorac Cardiovasc Surg 1994; 108: 780–784.

    PubMed  CAS  Google Scholar 

  11. Leyh RG, Jahnke AW, Kraatz EG, et al. Cardiovascular dynamics and dimensions after bicaval and standard cardiac transplantation. Ann Thorac Surg 1995; 59: 1495–1500.

    Article  PubMed  CAS  Google Scholar 

  12. Deleuze PH, Benvenuti C, Mazzuccotelli JP, et al. Orthotopic cardiac transplantation with direct caval anastomosis: is it the optimal procedure? J Thorac Cardiovasc Surg 1995; 109: 731–737.

    Google Scholar 

  13. Trento A, Czer LSC, Blanche C. Surgical techniques for cardiac transplantation. Semin Thorac Cardiovasc Surg 1996; 8 (2): 126–132.

    PubMed  CAS  Google Scholar 

  14. Forni A, Faggian G, Luciani GB, et al. Reduced incidence of cardiac arrhythmias after orthotopic heart transplantation with direct bicaval anastomosis. Transplant Proc 1996; 28 (1): 289–292.

    PubMed  CAS  Google Scholar 

  15. Yacoub M, Mankad P, Ledingham S. Donor procurement and surgical techniques for cardiac transplantation. Semin Thorac Cardiovasc Surg 1990; 2: 153–161.

    PubMed  CAS  Google Scholar 

  16. Sievers HH, Weyand M, Kraatz EG, et al. An alternative technique for orthotopic cardiac transplantation with preservation of normal anatomy of the right atrium. Thorac Cardiovasc Surg 1991; 39: 70–72.

    Article  PubMed  CAS  Google Scholar 

  17. Dreyfus G, Jebara V, Mihaileanu S, et al. Total orthotopic heart transplantation: alternative to the standard technique. Ann Thorac Surg 1991; 52: 1181–1184.

    Article  PubMed  CAS  Google Scholar 

  18. Sarsam MA, Campbell CS, Yonan NA, et al. An alternative technique in orthotopic cardiac transplantation. J Cardiovasc Surg 1993; 8: 344–349.

    CAS  Google Scholar 

  19. Webb WR, Howard HS, Neely WA. Practical method of homologous cardiac transplantation. J Thorac Surg 1959; 37: 361–366.

    PubMed  CAS  Google Scholar 

  20. Blanche C, Valenza M, Aleksic I, et al. Technical considerations of a new technique for orthotopic heart transplantation: total excision of recipient’s atria with bicaval and pulmonary venous anastomosis. J Cardiovasc Surg 1994; 35: 283–287.

    CAS  Google Scholar 

  21. Couetil JP, Mihaileanu S, Lavergne T, et al. Total excision of the recipient atria (TERA) in orthotopic heart transplantation (OHT) as a new clinical procedure: technical considerations and early results. J Heart Lung Transplant 1991; 10 (suppl 1): 179.

    Google Scholar 

  22. Milano CA, Shah AS, Van Trigt P, et al. Evaluation of early postoperative results after bicaval versus standard cardiac transplantation and review of the literature. Am Heart J 2000; 140 (5): 717–721.

    Article  PubMed  CAS  Google Scholar 

  23. El-Gamel A, Yonan NA, Grant S, et al. Orthotopic heart transplantation: a comparison between the standard and the bicaval Wythenshawe technique. J Thorac Cardiovasc Surg 1995; 109: 721–730.

    Article  PubMed  CAS  Google Scholar 

  24. El-Gamel A, Deiraniya AK, Rahman AN, et al. Orthotopic heart transplantation hemodynamics• does atrial preservation improve cardiac output after transplantation? J Heart Lung Transplant 1996; 15: 564–571.

    PubMed  CAS  Google Scholar 

  25. Aziz T, Burgess M, Khafagy R, et al. Bicaval and standard techniques in orthotopic heart transplantation: Medium-term experience in cardiac performance and survival. J Thorac Cardiovasc Surg 1999; 118 (1): 115–122.

    Article  PubMed  CAS  Google Scholar 

  26. Brandt M, Harringer W, Hirt SW, et al. Influence of bicaval anastomosis on late occurrence of atrial arrhythmia after heart transplantation. Ann Thorac Surg 1997; 64: 70–72.

    Article  PubMed  CAS  Google Scholar 

  27. Traversi E, Pozzoli M, Grande A, et al. The bicaval anastomosis technique for orthotopic heart transplantation yields better atrial function then the standard technique: an echocardiographic automatic boundary detection study. J Heart Lung Transplant 1998; 17 (11): 1065–1074.

    PubMed  CAS  Google Scholar 

  28. Grande AM, Rinaldi M, D’Armini A, et al. Orthotopic heart transplantation: standard versus bicaval technique. Am J Cardiol 2000; 85 (1): 1329–1333.

    Article  PubMed  CAS  Google Scholar 

  29. Aziz TM, Burgess MI, El-Gamel A, et al. Orthotopic cardiac transplantation technique: a survey of current practice. Ann Thorac Surg 1999; 68: 1242–1246.

    Article  PubMed  CAS  Google Scholar 

  30. Trento A, Takkenberg JM, Czer LSC, et al. Clinical experience with one hundred consecutive patients undergoing orthotopic heart transplantation with bicaval and pulmonary venous anastomoses. J Thorac Cardiovasc Surg 1996; 112 (6): 1496–1503.

    Article  PubMed  CAS  Google Scholar 

  31. Blanche C, Valenza M, Czer LS, et al. Orthotopic heart transplantation with bicaval and pulmonary venous anastomoses. Ann Thorac Surg 1994; 58 (5): 1505–1509.

    Article  PubMed  CAS  Google Scholar 

  32. Bouchait F, Derumeaux G, Mouton-Schleifer D, et al. Conventional and total orthotopic cardiac transplantation: a comparative clinical and echocardiographical study. Eur J Cardiothorac Surg 1997; 12 (4): 555–559.

    Article  Google Scholar 

  33. Blanche C, Nessim S, Quartel A, et al. Heart transplantation with bicaval and pulmonary venous anastomoses. A hemodynamic analysis of the first 117 patients. J Cardiovasc Surg 1997; 38 (6): 561–566.

    CAS  Google Scholar 

Download references

Authors
  1. Jeffrey A. Morgan MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Niloo M. Edwards MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Cardiothoracic Surgery, University of Wisconsin, Madison, WI, USA

    Niloo M. Edwards MD

  2. Pediatric Cardiac Surgery, Division of Cardiothoracic Surgery, Department of Surgery, Columbia University College of Physicians & Surgeons, New York, NY, USA

    Jonathan M. Chen MD

  3. Division of Cardiothoracic Surgery, Department of Surgery, Columbia University College of Physicians & Surgeons, New York, NY, USA

    Pamela A. Mazzeo

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Humana Press Inc., Totowa, NJ

About this chapter

Cite this chapter

Morgan, J.A., Edwards, N.M. (2004). Techniques of Cardiac Transplantation in Adults. In: Edwards, N.M., Chen, J.M., Mazzeo, P.A. (eds) Cardiac Transplantation. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-758-1_4

Download citation

  • DOI: https://doi.org/10.1007/978-1-59259-758-1_4

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4684-9853-0

  • Online ISBN: 978-1-59259-758-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation