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Pediatric Heart Transplantation With Lecompte Maneuver Owing to Extremely Oversized Donor Allograft  María-Teresa González-López, MD, PhD, Ramón Pérez-Caballero-Martínez,

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Presentation on theme: "Pediatric Heart Transplantation With Lecompte Maneuver Owing to Extremely Oversized Donor Allograft  María-Teresa González-López, MD, PhD, Ramón Pérez-Caballero-Martínez,"— Presentation transcript:

1 Pediatric Heart Transplantation With Lecompte Maneuver Owing to Extremely Oversized Donor Allograft 
María-Teresa González-López, MD, PhD, Ramón Pérez-Caballero-Martínez, MD, PhD, Ana-María Pita-Fernández, MD, Juan-Miguel Gil- Jaurena, MD  The Annals of Thoracic Surgery  Volume 103, Issue 4, Pages e345-e347 (April 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Chest roentgenogram (anteroposterior projection) before heart transplantation (HT) showing the white shadow of the left ventricular (LV) tumor (yellow asterisk). (B) Transthoracic echocardiographic four-chamber view showing the mass arising from the posterolateral wall of the LV (yellow asterisk). No enlargement of the cardiac chambers is confirmed. (C) Transthoracic echocardiographic long parasternal axis view showing no left ventricular outflow tract obstruction. (D) Cardiac catheterization 14 years after HT, with no signs of cardiac allograft vasculopathy. (Ao = aorta; LA = left atrium; RA = right atrium; RV = right ventricle.) The Annals of Thoracic Surgery  , e345-e347DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Cardiac magnetic resonance imaging at 14-year follow-up. (A) Three-dimensional reconstruction (anterior view) showing anterior translocation of the pulmonary artery (PA) in relation to the aorta (Lecompte maneuver). (B) Three-dimensional reconstruction (posterior view) showing normal growth of the entire length of the aorta. (C) Three-dimensional reconstruction of the PA and branches showing end-to-end anastomosis (dotted yellow line) and normal-sized PA branches (right pulmonary artery 13 mm, left pulmonary artery 15 mm). (D) Sagittal axis view showing PA (blue asterisk) and both ventricles. Optimal remodeling growth of the cardiac structures developed. (LV = left ventricle; RV = right ventricle.) The Annals of Thoracic Surgery  , e345-e347DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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