2018 AMI Online Salon

Heart Transplantation in Situs Inversus Totalis

Project Details

  • Artist(s):  Michael Leonard; Stockton, California
  • Client: Stanford University Medical Center
  • Copyright: © 2018 Michael E. Leonard
  • Medium / software used: Carbon dust and Photoshop
  • Final presentation format: Journal article and PowerPoint
  • Primary audience: Surgeons

Project Description

Illustration of heart transplantation in a 6-year-old patient with situs inversus totalis requiring reconstruction of the mirror-image systemic venous pathways. Recipient heart placed on bypass. Note the complex heart rotation and, because of this, the pulmonary artery transposed to the right of the aorta and sutured to the pulmonary artery cuff. Recipient right-sided SVC anastomosed directly to the right atrial appendage and left-sided SVC anastomosed to donor SVC.