Tissue transplantation heart-lung transplant

Kofidis, T, De Bruin, J. L., Hoyt, G., Ho, Y., Tanaka, M., Yamane, T, Lebl, D. R., Swijnenburg, R. J., Chang, C. R, Quertermous, T., and Robbins, R. C. 2005a. Myocardial restoration with embryonic stem cell bioartificial tissue transplantation. /. Heart Lung Transplant, 24,737-744. 

LI. Large, S. R., English, T. A. H., and Wallwork, J. Heart and heart-lung transplantation, Papworth Hospital, 1979-1989. In Clinical Transplants 1989 (P. Terasaki, ed.), pp. 73-78. UCLA Tissue Typing Laboratory, Los Angeles, 1989. 

If the lungs are also retrieved, a modified heart-explantation technique is used. The left atrial incision is made in the middle, between the atrioventricular groove and the orifice of the left pulmonary veins. This incision is extended clockwise to the orifice of the right pulmonary veins in order to preserve enough left atrial tissue for the later left atrial anastomosis as well as enough tissue for the creation of atrial cuffs for the lung transplantation. In this case the pulmonary trunk is transected immediately in front of the bifurcation into the pulmonary arteries. 

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