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Eur J Cardiothorac Surg 1998;14:631-634
© 1998 Elsevier Science NL

Case report

Successful heart transplantation in a patient with Ivemark syndrome combined with situs inversus, single atrium and ventricle after total cavo-pulmonary connection

^a Clinic for Thoracic and Cardiovascular Surgery, University Hospital, CH-3010 Berne, Switzerland
^b Division of Cardiology, University Hospital, Berne, Switzerland

Received 17 August 1998; accepted 30 September 1998.

Corresponding author. Tel.: +41316329268; fax: +41313820279; e-mail: thierry.carrel©insel.ch

Heart transplantation represents a valuable therapeutical option for patients with congenital heart disease and end-stage heart failure. We report the case of a young adult patient with a situs inversus and additional complex congenital malformations of the heart who underwent several prior palliative interventions, a biventricular repair being impossible. Orthotopic cardiac transplantation with several technical modifications was performed successfully at the age of 19 years.

Key Words: Situs inversus • Orthotopic cardiac transplantation • Congenital heart disease