A successful cardiac transplant in a patient with situs inversus totalis and congenitally corrected transposition of the great arteries.

Q4 Medicine

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-01-26 DOI:10.1510/mmcts.2023.107

Sebastian Johannes Bauer, Hug Aubin, Raphael Bruno, Moritz Benjamin Immohr, Yukiharu Sugimura, Arash Mehdiani, Payam Akhyari, Udo Boeken, Artur Lichtenberg

引用次数: 0

Abstract

A heart transplant is the gold standard therapy for patients with end-stage heart failure. In this case report, situs inversus totalis and congenitally corrected transposition of the great arteries led to a unique and complex preoperative setting. Extended donor organ harvesting, donor graft rotation of 45° to the right and post-operative stenting of the superior vena cava were essential steps in the interdisciplinary management of this case. The patient was transferred to the intensive care unit with moderate inotropic support. He was discharged to rehabilitation on postoperative day 89 and eventually underwent an additional renal transplant 14 months after the cardiac transplant.

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成功为一名患有坐位性全瘫和先天性大动脉转位的患者进行了心脏移植手术。

心脏移植是治疗终末期心力衰竭患者的金标准疗法。在本病例报告中，完全性坐位不正和先天性大动脉转位导致了独特而复杂的术前环境。扩大供体器官摘取范围、供体移植物向右旋转45°以及术后上腔静脉支架植入是该病例跨学科治疗的关键步骤。患者被转入重症监护室，接受中度肌力支持治疗。他在术后第 89 天出院进行康复治疗，最终在心脏移植手术 14 个月后又接受了肾移植手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is produced by The European Association for Cardio-Thoracic Surgery (EACTS). MMCTS is the world’s premier video-based educational resource for cardiovascular and thoracic surgeons; freely accessible - and essential - for all. MMCTS was launched more than ten years ago under the leadership of founding editor Professor Marko Turina. It was Professor Turina’s vision that the European Association for Cardio-Thoracic Surgery (EACTS), already the world-leader in CT surgery education, should take advantage of the Internet’s rapidly improving video publication capabilities and create a new step-by-step manual of surgical procedures. Professor Turina and EACTS agreed that the manual, MMCTS, should be freely accessible to all users, regardless of association membership status, nationality, or affiliation. MMCTS was self-published by EACTS for some years before being transferred to Oxford University Press, which hosted it until the end of 2016. In November 2016, the Manual returned home to EACTS and it has now relaunched in a completely new format. Since its birth in 2005, MMCTS has published some 400 detailed, video-based demonstrations of cardio-thoracic surgical procedures. Tutorials published prior to 2012 have been archived and we are working with the authors of these tutorials to update their work pending republication on the new site. Our mission is to make MMCTS the best online reference for cardio-thoracic surgeons – residents and experienced surgeons alike. Our aim is to include tutorials presenting procedures at both a fundamental and an advanced level. Truly innovative procedures are also included and are identified as such.