Bicaval technique for orthotopic heart transplantation. The left panel shows the completed recipient cardiectomy. The recipient atria are completely removed except for a cuff of tissue around the pulmonary vein orifices. The superior and inferior vena cavae are transected at their junction with the right atrium. The right panel shows the completed anastomoses of the donor heart at the level of the superior and inferior venae cavae and pulmonary veins. Ao, aorta; IVC, inferior vena cava; LA, left atrium; PA, pulmonary artery; SVC, superior vena cava. Reproduced with permission from Pahl E, Backer CL, Mavroudis C. Heart transplantation at Children’s Memorial. The Children’s Doctor: Journal of Children’s Memorial Hospital, Chicago. Fall 1999.
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