We
report the case of a 37-year-old man
who suffered from biventricular failure due to left
isomerism,
inferior vena cava interruption with
azygos vein continuation,
bilateral superior vena cava, double outlet of
right ventricle, complete atrioventricular septal defect,
pulmonary stenosis, and isolated
dextrocardia.
Heart transplantation in
patients with systemic venous anomalies often requires the correction and reconstruction of the upper & lower venous
drainage. We present a case of
heart transplantation in a
patient with left
isomerism, highlighting technical modifications to the
procedure, including the unifocalization of the caval
veins and reconstruction with patch augmentation.