Heterotopic Heart Transplantation - Indications, Surgical Techniques and Special Considerations

  • D. K. C. Cooper
  • S. Taniguchi


Heterotopic heart transplantation (HHT) has a long history in the experimental laboratory[1] (Chapter 18). Early experimental work was mainly by the Russian surgeon Demikhov[2] and subsequently by others[3]’[6], but it was Barnard and Losman’s techniques of implanting an auxiliary heart in the chest in 1974[7]’[9] that led to the initiation of a clinical program. The surgical technique of biventricular assist (Figure 1) is described below. The technique of left ventricular assist alone (Figure 2) is now less commonly performed, but can be associated with excellent long-term survival [11].


Inferior Vena Cava Heart Transplantation Pulmonary Vascular Resistance Superior Vena Cava Azygos Vein 
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© Kluwer Academic Publishers 1996

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  • D. K. C. Cooper
  • S. Taniguchi

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