부산대학교 도서관

Aims: The aim of this study is to evaluate and compare the impact of the bicaval technique versus the biatrial technique (by Lower and Shumway) in paediatric heart transplant patients. Only a few studies investigate this matter regarding the long‐term outcome after paediatric heart transplantation. We compared the two surgical methods regarding survival, the necessity of pacemaker implantation. Methods and results: All 134 patients (aged Conclusions: Paediatric heart transplantation using bicaval technique results similar long‐term survival compared with the biatrial technique. The incidence of atrial rhythm disorders was significantly higher in the biatrial group, requiring a higher frequency of pacemaker implantation in this group. As a results, the bicaval technique has replaced the biatrial technique in our centre.
Introduction The biatrial technique developed by Lower[sup.1] and Shumway[sup.2] in 1961 has been the gold standard for orthotropic heart transplantation (in adults) for many years. In this technique, the recipient's [...]