EDITORIAL 910
CSP
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Drowned donor lung for bilateral lung transplantation
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Letters to the Editor
C. J. McNamee, D. L. Modry, D. Lien, and A. A. Conlan
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Events of Interest
Right ventricular multiple myxomas obstructing right ventricular outflow tract
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Announcements
I. A. Paraskevaidis, K. Triantafilou, D. Karatzas, and D. Th. Kremastinos
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Origin of atrial fibrillation from the pulmonary veins in a mitral patient
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Change of Address
J. Q. Melo, S. Benussi, W. Tortoriello, V. Santinelli, S. Calvi, S. Nascimbene, C. Pappone, and O. Alfieri
CHD
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Combined repair of an aortic arch aneurysm by sequential transposition of the supra-aortic branches and endovascular stent-graft placement M. Czerny, T. Fleck, D. Zimpfer, J. Kilo, D. Sandner, M. Cejna, J. Lammer, E. Wolner, and M. Grabenwoger
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GTS
Controlled exsanguination during sternal reentry
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ACD Cover Photograph
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These preoperative and postoperative volume rendered shaded surface display images were created from computerized tomographic data sets. The image on the left depicts a large pulmonary artery aneurysm affecting the main pulmonary outflow tract and both main pulmonary arteries. One can also appreciate aneurysmal dilatation of branch pulmonary arteries bilaterally. The postoperative image on the right depicts the recipient pulmonary artery reconstruction, utilizing the donor ascending, transverse, and descending aorta. The donor ascending aorta is anastomosed end to end to the recipient pulmonary outflow tract. The donor left main pulmonary artery is anastomosed end to side to the donor transverse aortic arch at the site of the innominate and left carotid artery origins. The donor subclavian artery origin is sealed with a mechanical stapling device. The
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end-to-end anastomosis between the donor main pulmonary artery and donor descending thoracic aorta is obscured in this image by the recipient ascending aorta.1 (Images provided courtesy of Dr Sanjeeb Bhalla, Assistant Professor of Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine.) G. Alexander Patterson, MD
Reference 1. Force SD, Lau CL, Moazami N, Trulock EP, Patterson GA. Bilateral lung transplantation and pulmonary artery reconstruction in a patient with chronic obstructive pulmonary disease and a giant pulmonary artery aneurysm. J Thorac Cardiovasc Surg. 2003;126:864-6.
The Journal of Thoracic and Cardiovascular Surgery ● September 2003