{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:18:05Z","timestamp":1753881485990,"version":"3.41.2"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"vor","delay-in-days":152,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["8167060517"],"award-info":[{"award-number":["8167060517"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. We report a modified transplantation surgical technique for CHD with dextrocardia which is rare and surgically challenging. <jats:italic>Methods.<\/jats:italic> From January 2015 to May 2018, 5 patients with end\u2010stage CHD with dextrocardia underwent heart transplantation at our institute. They were 10, 29, 13, 15, and 22 years old, respectively; 3 of them had dextroversion, and the other 2 had mirror\u2010image dextrocardia and post\u2010TCPC. The atrial\u2010atrial anastomosis was performed first between the donor\u2019s upper\u2010left PVO and the recipient\u2019s lower\u2010left PVO. The apex thereby rotated approximately 90\u00b0 clockwise (to the right). The end\u2010to\u2010end donor and recipient aortas, vena cava, and pulmonary arteries were then anastomosed. <jats:italic>Results<\/jats:italic>. The cold ischemic time of the donor heart was 284.6 \u00b1 108.3\u2009min, and the CPB time was 190.2 \u00b1 43.8\u2009min. The postoperative X\u2010ray showed the apex on the right. Four patients were successfully discharged, and the follow\u2010up times were 47 months, 36 months, 12 months, and 12 months. One post\u2010TCPC patient died because of pneumonia and hypoxia at 59 postoperative days. <jats:italic>Conclusions<\/jats:italic>. Heart transplantation with dextrocardial CHD is rare. A 90\u00b0 rotation at the left atrial level, aortic end\u2010to\u2010end anastomosis, and vena cava reconstruction by vascular prosthesis or systemic atrial cuff is a simple and effective surgical strategy.<\/jats:p>","DOI":"10.1155\/2020\/3487635","type":"journal-article","created":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T23:31:22Z","timestamp":1591054282000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Orthotopic Heart Transplantation for Congenital Heart Disease with Dextrocardia: A Single\u2010Center Clinic Experience"],"prefix":"10.1155","volume":"2020","author":[{"given":"Guohua","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yixuan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongfeng","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Cai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinping","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1558-4523","authenticated-orcid":false,"given":"Nianguo","family":"Dong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6]]},"reference":[{"key":"e_1_2_11_1_2","first-page":"1271","article-title":"The operation. 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