Key result
Left atrial plication reduces the circumference of the recipient's left atrial cuff by up to 15 cm, allowing a standard left atrial anastomosis during heart transplantation in patients with a giant left atrium.
Left atrial plication is a practical surgical technique to overcome size discrepancies during heart transplantation in patients with a giant left atrium.
May enable standard anastomosis in giant left atrium transplantation; leaves open need for prospective outcome studies.
Giant left atrium occasionally occurs in patients undergoing heart transplantation and causes a technical challenge for the surgeon because of the substantial discrepancy in size between the left atrial cuffs of the recipient and donor. We describe a left atrial plication technique that substantially reduces this discrepancy and allows for a standard left atrial anastomosis to be performed without any other modifications in technique.
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Song et al. (2012) studied Giant left atrium in patients undergoing heart transplantation. Left atrial plication was evaluated. Left atrial plication reduces the circumference of the recipient's left atrial cuff by up to 15 cm, allowing a standard left atrial anastomosis during heart transplantation in patients with a giant left atrium.
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