A lost art—The biatrial technique for adult orthotopic heart transplantation

IF 2.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques Pub Date : 2026-08-01 Epub Date: 2026-05-25 DOI:10.1016/j.xjtc.2026.102427

Aaron M. Williams MD, Chen Chia Wang BSc, Kevin C. McGann MD, John Trahanas MD, Awab Ahmad MD, Brian Lima MD, MBA, Amir T. Dereshgi MD, Tarek Absi MD, Eric Quintana MD, Matthew Bacchetta MD, Ashish S. Shah MD, Swaroop Bommareddi MD

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Abstract

Objectives

The biatrial anastomosis technique was the original method of performing orthotopic heart transplantation. More recently, bicaval implant has become the preferred technique of choice. However, situations such as a complex redo sternotomy or size mismatch between donor and recipient vena cava may necessitate the use of the biatrial technique.

Methods

This article highlights our institutional biatrial implant technique to ensure modern heart transplant surgeons retain proficiency in this method of heart transplantation.

Results

Although the pacemaker rates in the biatrial cohort were greater than that in our bicaval cohort, the rates of tricuspid regurgitation and right ventricular dysfunction were similar.

Conclusions

Our manuscript highlights the timing of a biatrial heart transplant and details the operative steps necessary to avoid significant atrial or valvular distortion.

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一门失传的艺术——双心房技术在成人原位心脏移植中的应用

目的双房吻合技术是原位心脏移植的原始方法。近年来，双侧种植体已成为首选技术。然而，在复杂的重开胸术或供体和受体腔静脉大小不匹配的情况下，可能需要使用双房技术。方法本文重点介绍了我们的机构双心房植入技术，以确保现代心脏移植外科医生熟练掌握这种心脏移植方法。结果双房组起搏器发生率高于双房组，但三尖瓣反流和右室功能不全发生率相似。结论：本文强调了双房心脏移植的时机，并详细介绍了避免明显心房或瓣膜扭曲的手术步骤。

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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