Autotransplante cardíaco: um novo método no tratamento de problemas cardíacos complexos

Batista, Randas J. V; Franzoni, Marcos; Précoma, Dalton; Bochino, Lise; Nery, Paulo; Oliveira, Eduardo; Carvalho, Rosane; Takeshita, Noriaki; Furukawa, Murilo; Thome, Lisias; Lino, Francisco J; Santos, José Luiz Verde dos; Cunha, Marco A

doi:10.1590/S0102-76381995000200005

Resumos

No período de janeiro de 1990 a maio de 1995 foram operados com a técnica do autotransplante cardíaco 92 pacientes com cardiopatias complexas e arritmias supraventriculares, principalmente fibrilação atrial (n=89), reentrada (n=2), QT longo (n=1). O sexo feminino predominou (n=63). A idade variou de 18 a 76 anos (m=43). Os defeitos concomitantes foram: átrio esquerdo gigante (medido pelo ecocardiograma > 6 cm) (n=65); átrio direito gigante (n=9); átrio esquerdo aumentado (< 6 cm/>4 cm) (n=23); estenose mitral (n=46); insuficiência mitral (n=28); dupla lesão mitral (n=16); estenose aórtica (n=12); insuficiência aórtica (n=5); insuficiência tricúspide (n=78); trombose atrial (n=23); calcificação atrial (n=12); hipertensão pulmonar (n=86); fibroelastose biventricular (n=3); rotura atrioventricular (pós-troca de valva mitral) (n=1); aneurisma da raiz aórtica (n=1); ventriculectomia parcial (n=8); 88 pacientes saíram do centro cirúrgico em ritmo sinusal e assim permaneceram; 6 precisaram de drogas inotrópicas e 3 de drogas antiarrítmicas. Todos os pacientes que apresentavam átrio esquerdo ou direito gigante com fibrilação atrial tiveram seus átrios reduzidos ao tamanho normal. Não houve mortalidade operatória e 6 evoluíram a óbito hospitalar. Na reavaliação aos seis meses de pós-operatório, os sobreviventes estavam bem, em ritmo sinusal. A técnica do autotransplante cardíaco facilita o reparo intracardíaco, proporciona a redução atrial e conseqüente retorno do paciente ao ritmo sinusal e abre novas perspectivas.

Autotransplante cardíaco; Transplante cardíaco; Transplante cardíaco

From January 1990 to May 1995,92 patients with complex cardiac problems and supraventricular arrhythmias were operated upon with the technique of heart autotransplantation. The arrhythmias were: atrial fibrillation (n=89); reentry (n=2); long QT syndrome (n=1). Females predominated (n=63). The age varied from 18 to 76 years (m=43). Concomittant defects were: giant left atrium (> 6 cm measured by echo) (n=65); giant right atrium (n=9); large left atrium (< 6 cm./>4 cm) (n=23); mitral stenosis (n=46); mitral insufficiency (n=28); mitral double lesion (n=16); aortic stenosis (n=12); aortic insufficiency (n=5); tricuspid insufficiency (n=75); atrial thrombosis (n=23); atrial calcification (n=12); pulmonnary hypertension (n=86); biventricular fibroelastose (n=3); atrioventricular rupture (n=1); aortic root aneurysm (n=1); partial ventriculectomy (n=8); 88 patients left the operating room and remained in sinus rhythm; 6 required inotropic drugs and 3 antiarrhythmic drugs. All patients with giant atria and atrial fibrillation had their atria reduced to normal sizes. There were no OR mortality and 6 patients died during hospitalization. Six months later the survivors were clinically well, in sinus rhythm. The technique of heart autotransplantation facilitates intracardiac reppairs, provides atrial reduction and returns patients with atrial fibrillation into sinus rhythm, and opens new frontiers.

Heart autotransplantation; Heart transplantation; Heart transplantation

ARTIGOS ORIGINAIS

Autotransplante cardíaco: um novo método no tratamento de problemas cardíacos complexos

Heart autotransplantation: a new technique to complex intracardiac reppairs

Randas J. V. Batista^I; Marcos Franzoni^I; Dalton Précoma^I; Lise Bochino; Paulo Nery^I; Eduardo Oliveira^I; Rosane Carvalho^I; Noriaki Takeshita^I; Murilo Furukawa; Lisias Thome^I; Francisco J. Lino^II; José Luiz Verde dos Santos^I; Marco A. Cunha^II

^IDo Centro Médico Caron, Curitiba, PR

^IIDo IASERJ. Rio de Janeiro, RJ

^{Endereço para correspondência} Endereço para correspondência: Randas J. V. Batista Fax: (041) 772-1523

RESUMO

No período de janeiro de 1990 a maio de 1995 foram operados com a técnica do autotransplante cardíaco 92 pacientes com cardiopatias complexas e arritmias supraventriculares, principalmente fibrilação atrial (n=89), reentrada (n=2), QT longo (n=1). O sexo feminino predominou (n=63). A idade variou de 18 a 76 anos (m=43). Os defeitos concomitantes foram: átrio esquerdo gigante (medido pelo ecocardiograma > 6 cm) (n=65); átrio direito gigante (n=9); átrio esquerdo aumentado (< 6 cm/>4 cm) (n=23); estenose mitral (n=46); insuficiência mitral (n=28); dupla lesão mitral (n=16); estenose aórtica (n=12); insuficiência aórtica (n=5); insuficiência tricúspide (n=78); trombose atrial (n=23); calcificação atrial (n=12); hipertensão pulmonar (n=86); fibroelastose biventricular (n=3); rotura atrioventricular (pós-troca de valva mitral) (n=1); aneurisma da raiz aórtica (n=1); ventriculectomia parcial (n=8); 88 pacientes saíram do centro cirúrgico em ritmo sinusal e assim permaneceram; 6 precisaram de drogas inotrópicas e 3 de drogas antiarrítmicas. Todos os pacientes que apresentavam átrio esquerdo ou direito gigante com fibrilação atrial tiveram seus átrios reduzidos ao tamanho normal. Não houve mortalidade operatória e 6 evoluíram a óbito hospitalar. Na reavaliação aos seis meses de pós-operatório, os sobreviventes estavam bem, em ritmo sinusal. A técnica do autotransplante cardíaco facilita o reparo intracardíaco, proporciona a redução atrial e conseqüente retorno do paciente ao ritmo sinusal e abre novas perspectivas.

Descritores: Autotransplante cardíaco. Transplante cardíaco, humano, autotransplante.

ABSTRACT

From January 1990 to May 1995,92 patients with complex cardiac problems and supraventricular arrhythmias were operated upon with the technique of heart autotransplantation. The arrhythmias were: atrial fibrillation (n=89); reentry (n=2); long QT syndrome (n=1). Females predominated (n=63). The age varied from 18 to 76 years (m=43). Concomittant defects were: giant left atrium (> 6 cm measured by echo) (n=65); giant right atrium (n=9); large left atrium (< 6 cm./>4 cm) (n=23); mitral stenosis (n=46); mitral insufficiency (n=28); mitral double lesion (n=16); aortic stenosis (n=12); aortic insufficiency (n=5); tricuspid insufficiency (n=75); atrial thrombosis (n=23); atrial calcification (n=12); pulmonnary hypertension (n=86); biventricular fibroelastose (n=3); atrioventricular rupture (n=1); aortic root aneurysm (n=1); partial ventriculectomy (n=8); 88 patients left the operating room and remained in sinus rhythm; 6 required inotropic drugs and 3 antiarrhythmic drugs. All patients with giant atria and atrial fibrillation had their atria reduced to normal sizes. There were no OR mortality and 6 patients died during hospitalization. Six months later the survivors were clinically well, in sinus rhythm. The technique of heart autotransplantation facilitates intracardiac reppairs, provides atrial reduction and returns patients with atrial fibrillation into sinus rhythm, and opens new frontiers.

Descriptors: Heart autotransplantation. Heart transplantation, human, autotransplantation.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Recebido para publicação em maio de 1995.

Trabalho realizado no Centro Médico Caron-Curitiba, PR, e no IASERJ, Rio de Janeiro, RJ, Brasil

1 ASAYAMA, J.; MATSURA, T.; ENDO, N.; MATSUKUBO, H.; FURUKAWA, K. - Idiopathic enlargement of the right atrium. Am. J. Cardiol, 40: 620-623, 1977.
2 ASHWORTH, H. & JONES, A. M. - Aneurysmal dilatation of the left auricle with erosion of the spine. Brit. Heart J, 8: 207-211, 1946.
3 BACH, F. & KEITH, T. S. - Enlargement of the left auricle of the heart. Lancet, 2: 766, 1929.
4 BEDFORD, D. E.; Extreme dilatation of the auricle to the right. Am. Heart J, 3: 127, 1927.
5 BEDFORD, D. E. - Extreme dilatation of the left auricle to the right. American Heart Journal, 3: 127-138, 1927.
6 BEHRENDT, D. N. & ABERDEEN, E. - Congential aneurysm of the left atrium. Ann. Thorac. Surg, 13: 54-59, 1972.
7 BEPPU, S.; KAWAZOE, K.; NIMURA.; NAGATA, S.; PARK, Y.; SAKAKIBARA, H.; FUGITA, T. - Echocardiographic study of abnormal position and motion of posterobasal wall of the left ventricle in case of giant left atrium. Am. J. Cardiol, 49: 467, 1982.
8 BERTRAND, M. E.; LABLANCHE, J. M.; TILMANT, P. Y.; DUCLOUX, G.; WAREN BOURG. H.; SOOTS, G. - Complete denervation of the heart (autotransplantation) for treatment of severe refractory coronary spasm. Am. J. Cardiol, 47: 1375, 1981.
9 BEXTON, R. S.; NATHAN, A. W.; HELLESTRAND, K. J. - Sinoatrial function after cardiac transplantation. J. Am. Coll. Cardiol; 3: 712, 1984.
10 BHANDARI, A. K.; SCHEINMAN, M. M.; MORADY, F.; SVINARICH, J.; MASON, J., WINKLE, R. - Efficacy of left cardiac sympathectomy in the treatment of patients with the long QT syndrome. Circulation, 70: 1018-1023, 1984.
11 BISHOP, L. F. & BABEY, A. - Massive left auricle. JAMA, 106: 462, 1936.
12 BORDET, E. - Les anomalies de développment du profil de I' oreillette gauche dans le rétrécissement mitral. J. Méd. Paris, 40: 227-229, 1922.
13 BRAILLE, D. M. - Como eu faço: Cardioplegia sangüínea isotérmica retrógrada de baixo volume. Rev. Bras. Cir. Cardiovasc, 7: 221-229, 1992.
14 BREDIKIS, I.; PUTELIS, R. A.; NORKUS, T. A. - Experimental use of the mechanical suture in autotransplantation of the heart. Kardiologiia, 8: 138-140, 1968.
15 BROMWELL, J. C. & DUGUID, J. B. - Aneurysmal dilatation of the left auricle. Quart. J. Med, 21: 187, 1927.
16 BURKHARDT, E. A. - Marked dilatation of the left auricle of the heart. Am. J. Pathol, 6: 463, 1930.
17 CACHERA, J. P.; LA COMBE, B.; SALAMAGNE, J. C; BAUMANN, D.; DE LA FUENTE, A.; DUBOST, C. - Orthotopic transplantation of the heart in dogs. Ann. Chir. Thorac. Cardiovasc, 5: 233-242, 1966.
18 CANNON, D. S.; GRAHAM, A. F.; HARRISON, D. C. - Eletrophysiologic studies in the denervated transplanted human heart: Response to atrial pacing and atropine. Circulation Res, 32: 268, 1973.
19 CASS, M. H. & BROCK, R. - Heart excision and replacement. Guy's Hosp. Rep, 108: 285, 1959.
20 CASSIDY, M. A. - Aneurysmal dilatation of the left auricle. Proc Roy. Soc. Med, 23: 955-1275, 1930.
21 CASTANEDA, A. R.; ARNAR, O.; SCHMIDT-HABELMAN, P.; MOLLER, J. H.; ZAMORA, R. - Cardiopulmonary autotransplantation in primates. J. Cardiovasc. Surg. (Torino), 13: 523-531, 1972.
22 CASTANEDA, A. R.; ZAMORA, R.; SCHMIDT-HABELMAN - Cardiopulmonary auto-transplantation in primates (baboons): late functional reesults. Surgery, 72: 1064, 1972.
23 CHARTRAND, C.; BRYAN, B.; KOSEK, J. E.; DONG, E. JR.; ANGELL, W. W.; SHUMWAY, N. E. - Hemodynamics of the orthotopic homotransplanted canine heart. Ann. Thorac Surg, 13: 15-26, 1972.
24 CLARK, D. A.; QUINT, R. A.; MITCHELL, R. L.; ANGELL, W. W. - Coronary artery spasm. Medical manegement, surgical denervation and autotransplantation. J. Thorac Cardiovasc. Surg, 73: 332, 1977.
25 CODVELLE; CHAUVET; JAMMES - Enormous dilatation of the left auricle. Bull. Mem. Soc. Méd. Hôp. Paris, 54: 1852, 1938.
26 COOLEY, D. A.; REARDON, M. G.; FRAZIER, O. H.; ANGELINI, P. - Human cardiac explantation and autotransplantation: aplication in a patient with a large cardiac pheochromo cytoma. Texas Heart Inst. J, 12: 171-176, 1985.
27 CORELL, L. R. - Technics of pharmachological studies of coronary circulation: angiocardiocadiography and possibilities of fluorescent-coronary angiography and the orthotopic autotransplantation of the heart. Arch. Inst. Farmacol. Exp. (Madrid), 22: 63-100, 1970.
28 COX, J. L; SCHUESSLER, R. B.; DAGOSTINO, H. J.; STONE, C. M.; CHANG, B. C; CAIN, M. E.; CORR, P. B.; BOINEAU, J. P. - The surgical treatment of atrial fibrillation. J. Thorac Cardiovasc Surg, 101: 569-592, 1991.
29 DAGGETT, W. M.; SHANAHAN, E. A.; LEAK, L. V.; WARSHAW, J. B.; LOWER, R. R.; AUSTEN, W. G. - Functional, metabolic and structural changes in the chronic canine cardiac autotransplant. Bull. Soc. Int. Chir, 32: 223-228, 1973.
30 DAGGETT, W. M.; WILLMAN, V. L; COOPER, T.; HANLON, C. R. - Work capacity and efficiency of the autotransplanted heart. Circulation, 45: 196-204, 1961.
31 DAGGETT, W. M.; WILLMAN, V. L.; HARADA, Y.; BARNER, H. B.; COOPER, T.; HANLON, C. R. - Work capacity and efficiency of the autotransplanted heart. Surg. Forum, 17: 222, 1966.
32 DALEY, R. & FRANKS, R. - Massive dilatation of the left auricle. Quart. J. Med, 18: 81, 1949.
33 DAWKINS, K. D.; HAVERISH, A.; DERBY, G. C; SCOTT, W. C; REITZ, B. A.; STINSON, E. B.; JAMIESON, S. W.; SHUMWAY, N. E. - Long term hemodynamics following combined heart and lung transplantation in primates. J. Thorac. Cardiovasc. Surg, 89: 55-62, 1985.
34 DEFAUW, J. J.; VAN HEMEL, N.; VERMEULEN, F. - Short term results of the "Corridor Operation". Circulation, II 43: 0172, (Resumo).
35 DE SANCTIS, R. W.; DEAN, D. C.; BLAND, F. E. - Extreme left atrial enlargement. Circulation, 29: 14-23, 1964.
36 DIALER, L. - Unusual enlargement of the left auricle, Ztschr. Kreislaufforsch., 30: 857, 1938.
37 DI EUSANIO, G.; GREGORINI, R.; MAZZOLA, A.; CLEMENTI, G.; POCACCINI, B.; CAVARRA, F.; TARASCHI, F.; ESPOSITO, G.; DI NARDO, W.; DI LUZIO, V. - Giant left atrium and mitral valve replacement: risk factor analysis. Eur. J. Cardiothorac. Surg, 2: 151-159, 1988.
38 DINES, D. E. & ANDERSON, M. W. - Giant left atrium as a cause of dysphagia. Ann. Intern. Med, 65: 758-761, 1966.
39 DISESA, V. J. & COHN, L. H. - Experimental orthotopic heart autotransplantation. J. Heart Transplant, 7: 471-473, 1988.
40 DONALD, D. E. - Capacity for exercise after denervation of the heart. Circulation, 38: 225, 1968.
41 DONALD, D. E. & SHEPHERD, J. T. - Function of the dennervated heart. G. Clin. Med, 51: 1-7, 1970.
42 DONG, E.; HURLEY, D. G.; LOWER, R. R.; SHUMWAY, N. E. - Performance of the heart two years after autotransplantation. Surgery, 56: 270, 1964.
43 DRAKE, H. A. J.; CUMMINS, P.; ENGLISH, T. A. - Metabolic changes in the autotransplanted baboon heart. Transplantation, 38: 454, 1984.
44 DUMONT, L.; STANLEY, P.; CHARTRAND, C. - Hemodynamic effects of hypertonic sodium bicarbonate on denervated canine hearts. J. Heart Transplant, 4: 247-250, 1985.
45 EBERT, P. A. & SABISTON, D. C. - Pharmacologic quantitation of cardiac sympathetic reinnervation. Surgery, 68: 123-127, 1970.
46 EMANUEL, J. G. - Extreme dilatation of the left auricle. Lancet, 1: 591, 1923.
47 EVAT, C. F. T. - Great dilatation of the left auricle. Lancet, 1: 1194, 1926.
48 FIEHRING, H.; WARNKE, H.; PECH, H. J.; MORGAN, P.; PFEIFFER, D. - Treatment of the long QT syndrome with heart transplantation: a case report. Eur. Heart J, 9: 46, 1988.
49 FRAMBACH, P. G.; GESKES. G. G; CHERIEX, E. C; WELLENS, H. J.; PENN, D. C. - Giant intrapericardial aneurysm of the atrial appendage. Eur. Heart J, 11: 848-853, 1990.
50 FUGITA, T.; KAWAZOE, K.; BEPPU, S.; MANABE, H. - Surgical treatment of mitral valvular disease with giant left atrium. Jpn. Circ. J, 46: 420-426, 1982.
51 GODWIN, T. F.; AUGER, P.; KEY, T. A. - Intrapericardial aneurysmal dilation of the left atrial appendage. Circulation, 37: 397-401, 1968.
52 GOULD, L. A.; BETZU, R.; YANG, D. C.; PATEL, D. - Giant left atrial: a case repport. Angiology, 42: 52-54, 1991.
53 GROSS, L. - Lesion of the left auricle in rheumatic fever. Amer. J. Pathol, 11: 711, 1935.
54 GUEST, J. L.; HALL, D. P.; ELLISON, R. G. - Symmetrical gangrene following insertion of ball valve mitral prosthesis in a patient with giant left atrium. J. Thorac. Cardiovasc. Surg, 49: 550, 1965.
55 GUIRAUDON, G. M.; CAMPBEL, C. S.; JONES, D. L. - Combined sinoatrial node ventricular node isolation; a new surgical alternative to His bundle ablation in patients with atrial fibrillation. Circulation, 72: 11-22, 1985.
56 HALL, J. & DOBBS, R. H. - Cerebral emboli from aneurysm of left atrial appendage. Proc. Roy. Soc. Med, 62: 911-915, 1969.
57 HAMMERMAN, A. M. & FISCHER, K. C. - The CT appearance of the giant left atrium. Clin. Imaging, 14: 305-308, 1990.
58 HARMJANZ, K.; KOCHSIEK, A.; HEIMBURG, P.; EMMERICH, J. - Die mitral insufizienz mit normal Drückhohe und normalen druckablauf im linken vorhof bei grossen regurgitationsvolumen. Z. Kreislauf Forsch, 55: 217, 1966.
59 HEWETT, P. G. - Aneurysmal dilatation of left auricle with thickening and contraction of left auriculoventricular opening. Trans. Pathol. Soc. London, 2: 193, 1849/1850.
60 HIROSAWA, K.; SEKIGUSHI, M.; KASANUKI, L. - Natural history of atrial fibrillation. Heart Vessels, 2: 14-23, 1987.
61 HORN, E. M.; DANILO, P.; APFELBAUM, M. A.; BARR, M. L.; PEPINO, P.; POWERS, E. R.; SMITH, C. R.; ROSE, E. A.; BILEZIKIAN, J. P. - Beta-adrenergic receptor sensitivity and guanine nucleotide regulatory proteins in transplanted human hearts and autotransplanted baboons. Transplantation, 52: 960-966, 1991.
62 HOUGEN, T. J.; MULDER, D. G.; GYEPE, M. T. - Aneurysm of the left atrium. Am. J. Cardiol, 33: 557-561, 1974.
63 ISOMURA, T.; HISATOMI, K.; HIRANO, A.; MARUYAMA, H.; KOSUKA, K.; OHISHI, K. - Left atrial plication and mitral valve replacement for giant left atrium acompanying mitral lesion. J. Card. Surg, 8: 365-370, 1993.
64 JACKMAN, W. M.; FRIDAY, K. J.; ANDERSON, J. L.; ALIOT, E. M.; CLARK, M.; LAZZARA, R. - The long QT syndromes: a critical review, new clinical observations and unifying hypothesis. Prog. Cardiovasc. Dis, 31: 115-172, 1988.
65 JAZBIK, J. C; COUTINHO, J. H.; AMAR, M. R.; SILVA, S. R.; JAZBIK, J.; JAZBIK, A. T.; RODRIGUEZ, J.; PINTO, J. C; GUEDES, M. V.; BONFIN, A. S.; LOPES, A. M.; VALENCIA, A. V.; MEIER, M. A.; JASBIK, W. - Tratamento cirúrgico da fibrilação atrial em pacientes com insuficiência mitral: proposta inicial de uma nova abordagem cirúrgica. Rev. SOCERJ, 6: 142-145, 1993.
66 JOHNSON, J.; DANIELSON, G. K.; MAC VAUGH, H. III; JOYNER, C. R. - Plication of the giant left atrium at operation for severe mitral regurgitation. Surgery, 61: 118-121, 1967.
67 KAWAZOE, K.; BEPPU, S.; TAKAHARA, Y.; NAKAJIMA, N.; TANAKA, K.; ICHIHASHI, K.; FUGITA, T.; MANABE, H. - Surgical treatment of giant left atrium combined with mitral valvular disease. J. Thorac. Cardiovasc. Surg, 85: 885-892, 1983.
68 KAYE, M. P.; RANDALL, W. C.; HAGEMAN, G. R.; GEISS, W. P. & PRIOLA, D. V. - Chronology and mode of reinnervation of the surgically denervated canine heart: functional and chemical correlates. Am. J. Physiol, 233: 431-437, 1977.
69 KENT, E. M.; FISHER, D. L.; FORD, V.B.; NEVILLE, J. F. - Mitral valve surgery and left heart catheterization in giant left atrium. Arch. Surg, 73: 503-507, 1956.
70 KITAMURA, N.; YAMAGUSHI, A.; MIKI, T.; NOJI, S.; OTAKI, M.; KURATA, A. - Autotransplantation as optimal technique for recurrent malignant myxoma of left ventricle. Nippon Kyobu Geka Gakkai Zasshi, 41: 445-4511, 1993.
71 KNUDSEN, F. D.; DAILY, P. O.; STINSON, E. B.; SHUMWAY, N. E. - Surgical treatment of the gigantic left atrium. Surg. Ginecol. Obstet, 555-570., 1969.
72 KONDO, Y.; MATHENY, J. L.; HARDY, J. D. - Autonomic reinnervation of cardiac transplants: further observations in dogs and rhesus monkeys. Ann. of Surg, 176: 42-48, 1972.
73 KONSTANTINOV, B. A.; CHEREPENIN, L. P.; TARICHKO, I. V.; RASULOV, I. R.; NECHAENKO, M. A. - Atrioplastika pri khirurgicheskoi korrektsii mitral 'nogo' poroka, oslozhnennogo levoi atriomegaliei. Grud. Serdechnososudistaia Khir, 2: 3-8, 1990.
74 KONTOS, H. A.; THAMES, M. D.; LOWER, R. R. - Responses to electrical and reflex autonomic stimulation in dogs with cardiac transplantation before and after reinnervation. J. Thorac. Cardiovasc. Surg, 59: 382-392, 1970.
75 KONTOS, H. A.; ZUBAIR, H.; THAMES, M. D.; LOWER, R. R. - Circulatory responses to hemorrhage in dogs with cardiac autotransplantation. Am. J. Physiol, 220: 621-623, 1971.
76 KORYTNIKOV, K. I. & KORNEEV, N. V. - Differentsial 'naia ekhokardiogra ficheskaia diagnostika gigantskogo levogo predsesdiia i perikardial 'nogo vypotadifferential. Ter. Arkh, 59: 74-76, 1987.
77 KRONZON, I. & MEHTA, S. - Giant left atrium. Chest, 65: 677-679, 1974.
78 KRUEGER, S. K.; FERLIK, R. M.; MOORING, P. K. - Left atrial appendage aneurysm: correlation of non-invasive with clinical and surgical findings: report of a case. Circulation, 52: 732-738, 1975.
79 KRUSTINOV, G.; MILEV, M.; TOPALOV, I. - Autologous and homologous transplantation of the heart with both lungs in an experiment. Khirurgiia (Sofiia), 24: 444-449, 1971.
80 LANG, T. W.; BAZIKA, V:; PAPPELBAUM, S.; GOULD, H.; BERNSTEIN, H.; HERROLD, G.; CORDAY, E. - Autotransplanted heart-lung and cerebral venous shunt preparations: two new technics for pharmacologic assay of cardiovascular drugs. Am. J. Cardiol, 16: 695-700, 1965.
81 LEMIRE, F.; TAKIK, A. J.; HAGLER, D. J. - Asymetric left atrial enlargement:an echocardiographic observation. Chest, 69: 779-781, 1976.
82 LE ROUX, B. T. & GOTSMAN, M. S. - Giant left atrium. Thorax, 25: 190-198, 1970.
83 LOWER, R. R.; STOFER, R. C; SHUMWAY, N. E. - Homovital transplantation of the heart. J. Thorac. Cardiovasc. Surg, 41: 196-204, 1961.
84 LUCAS, D. S.; MAHRER, P. R.; STEINBERG, I. - Angiographic and physiological correlation in mitral stenosis. Circulation, 17: 567-575, 1958.
85 LUTEMBACHER, R. - Aneurysm of the left auricle. Arch. Mal. Coeur, 10: 145, 1917.
86 McKENNEY, R. N. & MELVIN, K. - Successful surgical reppair in a patient with mitral stenosis, calcified left atrium and severe tricuspid regurgitation with a giant right atrium. Can. J. Surg, 30: 264-265, 1987.
87 McKEOWN, P. P.; TABAYASSHI, K.; MIYAMOTO, M.; THOMAS, R.; TOGO, T.; TSUBOI, H. - Cardiac transplantation without cardiopulmonary bypass: experimental model to study growth of the transplanted heart. Surgery, 104: 489-493, 1988.
88 MAHAIM, I. - Aneurysm of the left auricle. Medicine, 10: 210, 1929.
89 MAHAPATA, S.; GOLBERG, M. J.; RYAN, J. M.; RUBENFIRE, M.; CASCADE, P. N. - Progressive extreme biatrial enlargement following mitral valve replacement. Chest, 84: 306-308, 1983.
90 MATSUDA, H.; NAKAO, M.; NOHARA, H.; HIGAMI, T.; MUKOHARA, N.; ASADA, T.; OGAWA, K.; KAWAMURA, T. - The causes of prolonged postoperative respiratory care in mitral valve disease with a giant left atrium. Jpn. J. Thorac. Surg, 43: 172-182, 1990.
91 MATSUDA, H.; NAKAO, M.; NOHARA, H.; HIGAMI, T.; MUKOHARA, N.; ASADA, T.; OGAWA, K.; KAWAMURA, T. - The causes of prolonged postoperative respiratory care in mitral valve disease with a giant left atrium. Kyobu Geka, 43: 172-177, 1990.
92 MINKOWSKI, O. - Demonstation eines herzens mit ungewohnlic starken dilation der vorhofe. Munchen Med. Wschr, 51: 182, 1904.
93 MOHANTY, P. K.; THAMES, M. D.; CAPEHEART, J. R. - Afferent reinnervation of the autotransplanted heart in dogs. J. Am. Coll. Cardiol, 7: 414, 1986.
94 MOSS, A. J.; SCHWARTZ, P. J.; CARAMPTON, R. S.; LOCATI, E.; CARLEEN, E. - The long QT syndrome: a prospective international study. Circulation, 71: 17-21, 1985.
95 NAKAE, S.; WEBB, W. R.; THEODORIDES, T.; SUGG, W. L. - Respiratory function following cardiopulmonary denervations dog, cat, and monkey. Surg. Gynecol. Obstet, 125: 1285-1292, 1967.
96 NASSERI, M.; EISELE, R.; KOTTER, D.; KASPAR, F.; PAEPRER, H. - Ventilation and hemodynamics after complete cardiopulmonary autotransplantation. Langenbecks Arch. Chir. 331: 108-118, 1972.
97 NICHOLS, C. F. & OSTRUM, H. W. - Unusual dilatation of the auricle. Am. Heart J, 8: 205-216, 1933.
98 NORVELL, J. E. & LOWER, R. R. - Degeneration and regeneration of the nerves of the heart after transplantation. Transplantation, 15: 337-344, 1973.
99 NOVITSKY, D. COOPER, D. K.; ROSE, A. G.; ISAACS, S.; BONIASZCZUK, F.; SMITH, J. A.; REICHART, B.; ITURRALDE, M. P. - The effects of denervation and acute rejection of left ventricular volumes measured by radionuclide ventriculography following cardiac transplantation in the chacma baboon. Semin. Nucl. Med, 18: 213-220, 1988.
100 OWEN, I. & FENTON, W. J. - A case of extreme dilatation of the left auricle of the heart. Trans. Clin. Soc. London, 34: 183-191, 1901.
101 PAGAN, V.; GRIGGIO, L.; LOSI, C.; CIGAINA, V.; ZOTTI, E. F. - Experimental autotransplant of the sinoatrial node in the area of the coronary sinus. Chir. Patol. Sper, 28: 73-79, 1980.
102 PARKER, J. O.; CONNELL, W. F.; LYNN, R. B. - Left atrial aneurysm. Am. J. Cardiol, 20: 579-582,1967.
103 PARSONNET, A. E.; BERNSTEIN, A.; MARTLAND, H. S. - Massive left auricle with special reference to its etiology and mechanism: report of case. Am. Heart J, 31: 438-450, 1946.
104 PASTOR, B. H.; FORTE, A. L. - Idiopathic enlargement of the right atrium. AM. J. Cardiol, 8: 513-518,1961.
105 PECH, H. J.; WARNKE, D.; MÜNTER, W. - Vergleich der berechneten mitralklappenoffnungsflasche mit dem angiokardiographisch ermittelten volumen des linken verhofes bei mitralstenosen. Fortsch. Roentgenstr, 108: 296, 1968.
106 PEEL, A. A. F. - Dilatation of the auricles resulting from heart block. Lancet, 2: 1248, 1929.
107 PEISS, C. N.; COOPER, T.; WILLMAN, V. L; RANDALL, W. C. - Circulatory responses to electrical and reflex activation of the nervous system after cardiac denervation. Cir. Res, 19: 153-166, 1966.
108 PEPINO, P.; VOLPE, M.; ROSE, A.; PANZA, A.; LEMBO, G.; PIGNALOSA, S.; BARR, M. L.; COVINO, E.; CONDORELLI, M.; SMITH, C. R. - Effects of complete denervation on atrial natriuretic factor release in baboons. J. Surg. Res, 53: 43-47, 1992.
109 PFEIFFER, D.; FIEHRING, H.; WARNKE, H.; PECH, N. - Lechenie takhiaritmii u bolnoi s sindromon udlinennogo intervala Q-T s pomoshch'iu autotransplantasii sedtsa i stimuliatsii predserdii, upravliaemoi sinusovym uzlom. Kardiologiia, 30: 90-92, 1990.
110 PFEIFFER, D.; FIEHRING, H.; WARNKE, H.; PECH, H. J.; JENSSEN, S. - Treatment of tachyarrythmia in a patient with the long QT syndrome by autotransplantation of the heart and sinus node-triggered atrial pacing. J. Thorac. Cardiovasc. Surg, 104: 491-494, 1992.
111 PICCOLI, G. P.; MASSINI, C; EUSANIO, G.; BALLERINI, L.; IACOBONE, G.; SORO, A.; PALMINIELLO, A. - Giant left atrium and mitral valve disease: early and late results o surgical treatment in 40 cases. J. Thorac. Cardiovasc. Surg, 25: 328-336, 1984.
112 PIWNIKA, A.; BLONDEAU, R.; D'ALLAINES, C.; DUBOST, C. - Le chirurgie des cardiopathies mitrales avec ectasie de I'oreillette gauche. Arch. Mal. Coeur, 60: 1532, 1967.
113 PLASCHKES, J.; BORMAN, J. B.; MERIN, G.; MILWIDSKY, H. - Giant left atrium in rheumatic heart disease. Ann. Surg, 174: 194-201, 1971.
114 REITZ, B. A.; BURTON, N. A.; JAMIESON, S. W. - Heart and lung transplantation, autotransplantation and allotransplantation in primates and extended survival. J. Thorac. Cardiovasc. Surg, 80: 360, 1980.
115 REITZ, B. A.; DONG, E.; STINSON, E. B. - The Bainbridge reflex in canine cardiac auto transplants. Circulation, 43: 136, 1971.
116 ROBERTS, W. C.; HUMPHRIES, J. O.; MORROW, A. G. - Giant right atrium in rheumatic mitra stenosis: atrial enlargement restricted by mural calcification. A. Heart J, 79: 28-35, 1970.
117 ROGERS, W. R. & WITTELS, B. - Extreme bilateral atriomegaly: review of the literature and repport of a case. Circulation, 15: 434-441, 1957.
118 ROSLER, H. & WEISS, K. - Über die Veranderung des oesophagusverlaufes durch de vergrosserten linken vorhof. Fortschr. Geb. Roentgen Strahlen, 33: 717, 1925.
119 ROSSELET, A.; BACH, E. A. - Case of aneurysm of the left auricle. Arch. Mal. Coeur, 17: 145, 1924.
120 RUBIN, S. A. & HIGHTOWER, C. W.; FLICKER, S. - Giant right atrium after mitral valve replacement: plain film findings in 15 patients. Am. J. Roentegenol, 149: 257-260, 1987.
121 SAIGUSA, M.; MORIMOTO, K.; KOIKE, T.; HORI, T.; SATO, T. - Idiopathic enlargement of the right atrium. Jpn. Heart J, 3: 373-379, 1962.
122 SALERNO, T. A.; HOUCK, J. P.; BARROZO, C. A. M. - Retrograde continuous warm blood cardioplegia: a new concept in myocardial protection. Ann. Thorac. Surg, 51: 245-247, 1991.
123 SANDERUG, A.; GARMNA, D.; HATLE, L. - Aneurysmal dilatation of the left auricle. Scand. J. Thorac. Cardiovasc. Surg, 5: 143-146, 1971.
124 SCHELD, H. H.; NESTLE, H. W.; KLING, D.; STERMANN, N. A.; LANGEBARTELS, H.; HEHRLEIN, F. W. - Ressection of a tumor using autotransplantation. J. Thorac. Cardiovasc. Surg, 36: 40-43, 1988.
125 SCHMIDT-HABELMAN, P.; PONTO, R.; ZAMORA, R.; CASTANEDA, A. - Pulmonary function studies following cardiopulmonary autotransolantation in primates (baboons) using Xenon-133. Res. Exp. Med. (Berlin), 157: 226-228, 1972.
126 SCHOTT, A. - Extreme dilatation of the left auricle. Klin. Wchnschr, 3: 1067, 1924.
127 SCHWARTZ, S. I.; LILLEHEI, R. C.; SHIRES, G. T.; SPENCER, F. C.; STORER, E. - Principles of Surgery, vol. 2: 983, 1972.
128 SEKI, S.; TITUS, J. L.; DANIELSON, G. K. - Cardiac growth after cardiac autotransplantation in calves. J. Thorac. Cardiovasc. Surg, 62: 631-637, 1971.
129 SEMANS, J. H. & TAUSSIG, H. B. - Congenital "aneurysmal" dilatation of the auricle. Bull. Johns Hopkins Hosp, 63: 404, 1938.
130 SERRA, A. J.; Mc NICHOLAS, K. W.; LEMOLE, G. M. - Giant left atrium as a cause of left pulmonary artery obstruction. Ann. Thorac Surg, 43: 329-331, 1987.
131 SHANAHAN, E. A.; DAGGETT, W. M.; LEAK, L. V. - Functional, matabolic and structural studies of the chronic canine autotransplant. J. Surg. Res, 13: 269-281, 1972.
132 SHARER, R. M.; ANIX, W.; ALLEY, R. - Congenital enlargement of the left atrium. J. Thorac. Cardiovasc. Surg, 63: 292-299, 1972.
133 SHAW, H. B. - A case of extreme dilatation of the left auricle. Lancet, 2: 493-494, 1924.
134 SLOAN, S.; POLLOCK, R. C.; KIRSHBAUM, J.; FREEDMAN, T. - Massive dilatation of the left auricle: report of three cases. Ann. Intern. Med, 40: 75-91, 1954.
135 SMITH, N. T.; GERSHWIN, M. E.; HURLEY, E. J. - Hemodynamic effects of ouabain on the surgically denervated, autotransplanted dog heart. Arch. Int. Pharmacodyn. Ther, 173: 95-114, 1968.
136 SMITH, N. T. & HURLEY, E. J. - Citrate infusion in dogs following cardiac autotransplantation: studies on cardiovascular effects. Arch. Surg, 98: 44-48, 1969
137 STEEL, D. - Extreme dilatation of the left auricle. Am J. Roentgenol, 26: 67-73, 1931.
138 STEELE Jr., J. M. & PATTERSON, R. - Distortion of the bronchi by left auricle enlargement. Am. Heart J, 4: 692, 1928.
139 TAJIK, A. J.; BROADBENT, J. C; SHATTENBERG, T. T. - Idiopathic right atrial enlargement with pericardial effusion. Chest, 63: 450-453, 1973.
140 TAUSSIG, B. L. - A case of ticuspid stenosis with enormous dilatation of the right auricle. Am. Heart J, 14; 744-752, 1937.
141 TAYLOR, D. G. - Preservation and reimplantation of the heart in dogs. Ann. Chir. Thorac. Cardiovasc, 5: 247-248, 1966.
142 TENCKHOFF, L.; STAMM, S. J.; BECKWITH, J. B. - Sudden death in idiopathic (congenital) right atrial enlargement. Circulation, 40: 227-235, 1969.
143 THADANI, V.; WHITAKER, W.; WATSON, D. A. - Congenital intrapericardial aneurysm of the left atrium. Thorax, 30: 102-109, 1975.
144 THAMES, M. D.; ZUBAIR, H.; BRACKETT, N. C; LOWER, R. R.; KONTOS, H. A. - Plasma renin responses to hemorrage after cardiac autotransplantation. Am. J. Physiol, 221: 1115-1119, 1971.
145 TILL, J. A.; SHINEBOURNE, E. A.; PEPPER, J.; CAMM, A. J.; WARD, D. E. - Complete denervation of the heart in a child with congenital long QT and deafness. Am. J. Cardiol, 62: 1319-1321, 1988.
146 TOUNTAS, C.; AREALIS, E.; ANDREADIS, P.; KIRIAKOU, K. - Total heart transplantation with preservation of its anatomo-physiologic relations: personal technique. J. Chir. (Paris), 97: 79-86, 1969.
147 TOUNTAS, C.; KIRIAKOU, K.; KARAPISTOLIS, E.; AREALIS, E.; GEORGOPOULOS, A.; ANDROULAKIS, G. - Heart autotransplantation in dogs: a new techical approach. Bull. Soc. Int. Chir, 28: 219-223, 1969.
148 VENNER, A. - Massive left atrium and mitral valvotomy. Brit. Med. J, 1: 1359, 1954.
149 WANG, T.; ANAGNOSTOPOULOS, C. E.; RESNEKOV, L. - Aneurysm of the body of the left atrium presenting with chest pain. Chest, 67: 226-229, 1975.
150 WILLIAMS, J. M.; UNGERLEIDER, R. M.; LOFLAND, G. K.; COX, J. L. - Left atrial isolation: new technique for the treatment of supraventricular arrythmias. J. Thorac. Cardiovasc. Surg, 80: 373-380, 1980.
151 WILLMAN, V. L.; COOPER, T.; CION, L. G. - Autotransplantation of the heart. Surg. Gynecol. Obstet, 115: 299, 1962.
152 WILLMAN, V. L.; COOPER, T.; HANLON, C. R. - Coronary blood flow in dogs after cardiac transplantation. JAMA, 195: 206-207, 1966.
153 WILLMAN, V. L.; COOPER, T.; HANLON, C. R. - Return of neural responses after autotransplantation of the heart. Am. J. Physiol, 207: 187-189, 1964.
154 WILLMAN, V. L.; COOPER, T.; KAIZER, G. C.; HANLON, C. R. - Cardiovascular response after cardiac autotransplantation in primate. Arch. Surg, 91: 805-806, 1965.
155 WILLMAN, V. L.; MERJAVY, J. P.; PENNELL, R.; HANLON, C. R. - Response of the autotransplanted heart to blood volume expansion. Ann. Surg, 166: 513, 1967.
156 WONG, C. K.; LAU, C, P.; CHENG, C. H.; LEUNG, W. H.; CHANG, T. Y.; PUN, K. K. - Elevated atrial natriuretic peptide level in giant atrium complicating Marfan's syndrome. Eur. Heart J, 10: 863-864, 1989.
157 ZIMIN, N. K.; KORMER, A. I. - Experimental autotransplantation of the heart. Kardiologiia, 17: 126-130, 1977.

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[1] 1 ASAYAMA, J.; MATSURA, T.; ENDO, N.; MATSUKUBO, H.; FURUKAWA, K. - Idiopathic enlargement of the right atrium. Am. J. Cardiol, 40: 620-623, 1977.

[2] 2 ASHWORTH, H. & JONES, A. M. - Aneurysmal dilatation of the left auricle with erosion of the spine. Brit. Heart J, 8: 207-211, 1946.

[3] 3 BACH, F. & KEITH, T. S. - Enlargement of the left auricle of the heart. Lancet, 2: 766, 1929.

[4] 4 BEDFORD, D. E.; Extreme dilatation of the auricle to the right. Am. Heart J, 3: 127, 1927.

[5] 5 BEDFORD, D. E. - Extreme dilatation of the left auricle to the right. American Heart Journal, 3: 127-138, 1927.

[6] 6 BEHRENDT, D. N. & ABERDEEN, E. - Congential aneurysm of the left atrium. Ann. Thorac. Surg, 13: 54-59, 1972.

[7] 7 BEPPU, S.; KAWAZOE, K.; NIMURA.; NAGATA, S.; PARK, Y.; SAKAKIBARA, H.; FUGITA, T. - Echocardiographic study of abnormal position and motion of posterobasal wall of the left ventricle in case of giant left atrium. Am. J. Cardiol, 49: 467, 1982.

[8] 8 BERTRAND, M. E.; LABLANCHE, J. M.; TILMANT, P. Y.; DUCLOUX, G.; WAREN BOURG. H.; SOOTS, G. - Complete denervation of the heart (autotransplantation) for treatment of severe refractory coronary spasm. Am. J. Cardiol, 47: 1375, 1981.

[9] 9 BEXTON, R. S.; NATHAN, A. W.; HELLESTRAND, K. J. - Sinoatrial function after cardiac transplantation. J. Am. Coll. Cardiol; 3: 712, 1984.

[10] 10 BHANDARI, A. K.; SCHEINMAN, M. M.; MORADY, F.; SVINARICH, J.; MASON, J., WINKLE, R. - Efficacy of left cardiac sympathectomy in the treatment of patients with the long QT syndrome. Circulation, 70: 1018-1023, 1984.

[11] 11 BISHOP, L. F. & BABEY, A. - Massive left auricle. JAMA, 106: 462, 1936.

[12] 12 BORDET, E. - Les anomalies de développment du profil de I' oreillette gauche dans le rétrécissement mitral. J. Méd. Paris, 40: 227-229, 1922.

[13] 13 BRAILLE, D. M. - Como eu faço: Cardioplegia sangüínea isotérmica retrógrada de baixo volume. Rev. Bras. Cir. Cardiovasc, 7: 221-229, 1992.

[14] 14 BREDIKIS, I.; PUTELIS, R. A.; NORKUS, T. A. - Experimental use of the mechanical suture in autotransplantation of the heart. Kardiologiia, 8: 138-140, 1968.

[15] 15 BROMWELL, J. C. & DUGUID, J. B. - Aneurysmal dilatation of the left auricle. Quart. J. Med, 21: 187, 1927.

[16] 16 BURKHARDT, E. A. - Marked dilatation of the left auricle of the heart. Am. J. Pathol, 6: 463, 1930.

[17] 17 CACHERA, J. P.; LA COMBE, B.; SALAMAGNE, J. C; BAUMANN, D.; DE LA FUENTE, A.; DUBOST, C. - Orthotopic transplantation of the heart in dogs. Ann. Chir. Thorac. Cardiovasc, 5: 233-242, 1966.

[18] 18 CANNON, D. S.; GRAHAM, A. F.; HARRISON, D. C. - Eletrophysiologic studies in the denervated transplanted human heart: Response to atrial pacing and atropine. Circulation Res, 32: 268, 1973.

[19] 19 CASS, M. H. & BROCK, R. - Heart excision and replacement. Guy's Hosp. Rep, 108: 285, 1959.

[20] 20 CASSIDY, M. A. - Aneurysmal dilatation of the left auricle. Proc Roy. Soc. Med, 23: 955-1275, 1930.

[21] 21 CASTANEDA, A. R.; ARNAR, O.; SCHMIDT-HABELMAN, P.; MOLLER, J. H.; ZAMORA, R. - Cardiopulmonary autotransplantation in primates. J. Cardiovasc. Surg. (Torino), 13: 523-531, 1972.

[22] 22 CASTANEDA, A. R.; ZAMORA, R.; SCHMIDT-HABELMAN - Cardiopulmonary auto-transplantation in primates (baboons): late functional reesults. Surgery, 72: 1064, 1972.

[23] 23 CHARTRAND, C.; BRYAN, B.; KOSEK, J. E.; DONG, E. JR.; ANGELL, W. W.; SHUMWAY, N. E. - Hemodynamics of the orthotopic homotransplanted canine heart. Ann. Thorac Surg, 13: 15-26, 1972.

[24] 24 CLARK, D. A.; QUINT, R. A.; MITCHELL, R. L.; ANGELL, W. W. - Coronary artery spasm. Medical manegement, surgical denervation and autotransplantation. J. Thorac Cardiovasc. Surg, 73: 332, 1977.

[25] 25 CODVELLE; CHAUVET; JAMMES - Enormous dilatation of the left auricle. Bull. Mem. Soc. Méd. Hôp. Paris, 54: 1852, 1938.

[26] 26 COOLEY, D. A.; REARDON, M. G.; FRAZIER, O. H.; ANGELINI, P. - Human cardiac explantation and autotransplantation: aplication in a patient with a large cardiac pheochromo cytoma. Texas Heart Inst. J, 12: 171-176, 1985.

[27] 27 CORELL, L. R. - Technics of pharmachological studies of coronary circulation: angiocardiocadiography and possibilities of fluorescent-coronary angiography and the orthotopic autotransplantation of the heart. Arch. Inst. Farmacol. Exp. (Madrid), 22: 63-100, 1970.

[28] 28 COX, J. L; SCHUESSLER, R. B.; DAGOSTINO, H. J.; STONE, C. M.; CHANG, B. C; CAIN, M. E.; CORR, P. B.; BOINEAU, J. P. - The surgical treatment of atrial fibrillation. J. Thorac Cardiovasc Surg, 101: 569-592, 1991.

[29] 29 DAGGETT, W. M.; SHANAHAN, E. A.; LEAK, L. V.; WARSHAW, J. B.; LOWER, R. R.; AUSTEN, W. G. - Functional, metabolic and structural changes in the chronic canine cardiac autotransplant. Bull. Soc. Int. Chir, 32: 223-228, 1973.

[30] 30 DAGGETT, W. M.; WILLMAN, V. L; COOPER, T.; HANLON, C. R. - Work capacity and efficiency of the autotransplanted heart. Circulation, 45: 196-204, 1961.

[31] 31 DAGGETT, W. M.; WILLMAN, V. L.; HARADA, Y.; BARNER, H. B.; COOPER, T.; HANLON, C. R. - Work capacity and efficiency of the autotransplanted heart. Surg. Forum, 17: 222, 1966.

[32] 32 DALEY, R. & FRANKS, R. - Massive dilatation of the left auricle. Quart. J. Med, 18: 81, 1949.

[33] 33 DAWKINS, K. D.; HAVERISH, A.; DERBY, G. C; SCOTT, W. C; REITZ, B. A.; STINSON, E. B.; JAMIESON, S. W.; SHUMWAY, N. E. - Long term hemodynamics following combined heart and lung transplantation in primates. J. Thorac. Cardiovasc. Surg, 89: 55-62, 1985.

[34] 34 DEFAUW, J. J.; VAN HEMEL, N.; VERMEULEN, F. - Short term results of the "Corridor Operation". Circulation, II 43: 0172, (Resumo).

[35] 35 DE SANCTIS, R. W.; DEAN, D. C.; BLAND, F. E. - Extreme left atrial enlargement. Circulation, 29: 14-23, 1964.

[36] 36 DIALER, L. - Unusual enlargement of the left auricle, Ztschr. Kreislaufforsch., 30: 857, 1938.

[37] 37 DI EUSANIO, G.; GREGORINI, R.; MAZZOLA, A.; CLEMENTI, G.; POCACCINI, B.; CAVARRA, F.; TARASCHI, F.; ESPOSITO, G.; DI NARDO, W.; DI LUZIO, V. - Giant left atrium and mitral valve replacement: risk factor analysis. Eur. J. Cardiothorac. Surg, 2: 151-159, 1988.

[38] 38 DINES, D. E. & ANDERSON, M. W. - Giant left atrium as a cause of dysphagia. Ann. Intern. Med, 65: 758-761, 1966.

[39] 39 DISESA, V. J. & COHN, L. H. - Experimental orthotopic heart autotransplantation. J. Heart Transplant, 7: 471-473, 1988.

[40] 40 DONALD, D. E. - Capacity for exercise after denervation of the heart. Circulation, 38: 225, 1968.

[41] 41 DONALD, D. E. & SHEPHERD, J. T. - Function of the dennervated heart. G. Clin. Med, 51: 1-7, 1970.

[42] 42 DONG, E.; HURLEY, D. G.; LOWER, R. R.; SHUMWAY, N. E. - Performance of the heart two years after autotransplantation. Surgery, 56: 270, 1964.

[43] 43 DRAKE, H. A. J.; CUMMINS, P.; ENGLISH, T. A. - Metabolic changes in the autotransplanted baboon heart. Transplantation, 38: 454, 1984.

[44] 44 DUMONT, L.; STANLEY, P.; CHARTRAND, C. - Hemodynamic effects of hypertonic sodium bicarbonate on denervated canine hearts. J. Heart Transplant, 4: 247-250, 1985.

[45] 45 EBERT, P. A. & SABISTON, D. C. - Pharmacologic quantitation of cardiac sympathetic reinnervation. Surgery, 68: 123-127, 1970.

[46] 46 EMANUEL, J. G. - Extreme dilatation of the left auricle. Lancet, 1: 591, 1923.

[47] 47 EVAT, C. F. T. - Great dilatation of the left auricle. Lancet, 1: 1194, 1926.

[48] 48 FIEHRING, H.; WARNKE, H.; PECH, H. J.; MORGAN, P.; PFEIFFER, D. - Treatment of the long QT syndrome with heart transplantation: a case report. Eur. Heart J, 9: 46, 1988.

[49] 49 FRAMBACH, P. G.; GESKES. G. G; CHERIEX, E. C; WELLENS, H. J.; PENN, D. C. - Giant intrapericardial aneurysm of the atrial appendage. Eur. Heart J, 11: 848-853, 1990.

[50] 50 FUGITA, T.; KAWAZOE, K.; BEPPU, S.; MANABE, H. - Surgical treatment of mitral valvular disease with giant left atrium. Jpn. Circ. J, 46: 420-426, 1982.

[51] 51 GODWIN, T. F.; AUGER, P.; KEY, T. A. - Intrapericardial aneurysmal dilation of the left atrial appendage. Circulation, 37: 397-401, 1968.

[52] 52 GOULD, L. A.; BETZU, R.; YANG, D. C.; PATEL, D. - Giant left atrial: a case repport. Angiology, 42: 52-54, 1991.

[53] 53 GROSS, L. - Lesion of the left auricle in rheumatic fever. Amer. J. Pathol, 11: 711, 1935.

[54] 54 GUEST, J. L.; HALL, D. P.; ELLISON, R. G. - Symmetrical gangrene following insertion of ball valve mitral prosthesis in a patient with giant left atrium. J. Thorac. Cardiovasc. Surg, 49: 550, 1965.

[55] 55 GUIRAUDON, G. M.; CAMPBEL, C. S.; JONES, D. L. - Combined sinoatrial node ventricular node isolation; a new surgical alternative to His bundle ablation in patients with atrial fibrillation. Circulation, 72: 11-22, 1985.

[56] 56 HALL, J. & DOBBS, R. H. - Cerebral emboli from aneurysm of left atrial appendage. Proc. Roy. Soc. Med, 62: 911-915, 1969.

[57] 57 HAMMERMAN, A. M. & FISCHER, K. C. - The CT appearance of the giant left atrium. Clin. Imaging, 14: 305-308, 1990.

[58] 58 HARMJANZ, K.; KOCHSIEK, A.; HEIMBURG, P.; EMMERICH, J. - Die mitral insufizienz mit normal Drückhohe und normalen druckablauf im linken vorhof bei grossen regurgitationsvolumen. Z. Kreislauf Forsch, 55: 217, 1966.

[59] 59 HEWETT, P. G. - Aneurysmal dilatation of left auricle with thickening and contraction of left auriculoventricular opening. Trans. Pathol. Soc. London, 2: 193, 1849/1850.

[60] 60 HIROSAWA, K.; SEKIGUSHI, M.; KASANUKI, L. - Natural history of atrial fibrillation. Heart Vessels, 2: 14-23, 1987.

[61] 61 HORN, E. M.; DANILO, P.; APFELBAUM, M. A.; BARR, M. L.; PEPINO, P.; POWERS, E. R.; SMITH, C. R.; ROSE, E. A.; BILEZIKIAN, J. P. - Beta-adrenergic receptor sensitivity and guanine nucleotide regulatory proteins in transplanted human hearts and autotransplanted baboons. Transplantation, 52: 960-966, 1991.

[62] 62 HOUGEN, T. J.; MULDER, D. G.; GYEPE, M. T. - Aneurysm of the left atrium. Am. J. Cardiol, 33: 557-561, 1974.

[63] 63 ISOMURA, T.; HISATOMI, K.; HIRANO, A.; MARUYAMA, H.; KOSUKA, K.; OHISHI, K. - Left atrial plication and mitral valve replacement for giant left atrium acompanying mitral lesion. J. Card. Surg, 8: 365-370, 1993.

[64] 64 JACKMAN, W. M.; FRIDAY, K. J.; ANDERSON, J. L.; ALIOT, E. M.; CLARK, M.; LAZZARA, R. - The long QT syndromes: a critical review, new clinical observations and unifying hypothesis. Prog. Cardiovasc. Dis, 31: 115-172, 1988.

[65] 65 JAZBIK, J. C; COUTINHO, J. H.; AMAR, M. R.; SILVA, S. R.; JAZBIK, J.; JAZBIK, A. T.; RODRIGUEZ, J.; PINTO, J. C; GUEDES, M. V.; BONFIN, A. S.; LOPES, A. M.; VALENCIA, A. V.; MEIER, M. A.; JASBIK, W. - Tratamento cirúrgico da fibrilação atrial em pacientes com insuficiência mitral: proposta inicial de uma nova abordagem cirúrgica. Rev. SOCERJ, 6: 142-145, 1993.

[66] 66 JOHNSON, J.; DANIELSON, G. K.; MAC VAUGH, H. III; JOYNER, C. R. - Plication of the giant left atrium at operation for severe mitral regurgitation. Surgery, 61: 118-121, 1967.

[67] 67 KAWAZOE, K.; BEPPU, S.; TAKAHARA, Y.; NAKAJIMA, N.; TANAKA, K.; ICHIHASHI, K.; FUGITA, T.; MANABE, H. - Surgical treatment of giant left atrium combined with mitral valvular disease. J. Thorac. Cardiovasc. Surg, 85: 885-892, 1983.

[68] 68 KAYE, M. P.; RANDALL, W. C.; HAGEMAN, G. R.; GEISS, W. P. & PRIOLA, D. V. - Chronology and mode of reinnervation of the surgically denervated canine heart: functional and chemical correlates. Am. J. Physiol, 233: 431-437, 1977.

[69] 69 KENT, E. M.; FISHER, D. L.; FORD, V.B.; NEVILLE, J. F. - Mitral valve surgery and left heart catheterization in giant left atrium. Arch. Surg, 73: 503-507, 1956.

[70] 70 KITAMURA, N.; YAMAGUSHI, A.; MIKI, T.; NOJI, S.; OTAKI, M.; KURATA, A. - Autotransplantation as optimal technique for recurrent malignant myxoma of left ventricle. Nippon Kyobu Geka Gakkai Zasshi, 41: 445-4511, 1993.

[71] 71 KNUDSEN, F. D.; DAILY, P. O.; STINSON, E. B.; SHUMWAY, N. E. - Surgical treatment of the gigantic left atrium. Surg. Ginecol. Obstet, 555-570., 1969.

[72] 72 KONDO, Y.; MATHENY, J. L.; HARDY, J. D. - Autonomic reinnervation of cardiac transplants: further observations in dogs and rhesus monkeys. Ann. of Surg, 176: 42-48, 1972.

[73] 73 KONSTANTINOV, B. A.; CHEREPENIN, L. P.; TARICHKO, I. V.; RASULOV, I. R.; NECHAENKO, M. A. - Atrioplastika pri khirurgicheskoi korrektsii mitral 'nogo' poroka, oslozhnennogo levoi atriomegaliei. Grud. Serdechnososudistaia Khir, 2: 3-8, 1990.

[74] 74 KONTOS, H. A.; THAMES, M. D.; LOWER, R. R. - Responses to electrical and reflex autonomic stimulation in dogs with cardiac transplantation before and after reinnervation. J. Thorac. Cardiovasc. Surg, 59: 382-392, 1970.

[75] 75 KONTOS, H. A.; ZUBAIR, H.; THAMES, M. D.; LOWER, R. R. - Circulatory responses to hemorrhage in dogs with cardiac autotransplantation. Am. J. Physiol, 220: 621-623, 1971.

[76] 76 KORYTNIKOV, K. I. & KORNEEV, N. V. - Differentsial 'naia ekhokardiogra ficheskaia diagnostika gigantskogo levogo predsesdiia i perikardial 'nogo vypotadifferential. Ter. Arkh, 59: 74-76, 1987.

[77] 77 KRONZON, I. & MEHTA, S. - Giant left atrium. Chest, 65: 677-679, 1974.

[78] 78 KRUEGER, S. K.; FERLIK, R. M.; MOORING, P. K. - Left atrial appendage aneurysm: correlation of non-invasive with clinical and surgical findings: report of a case. Circulation, 52: 732-738, 1975.

[79] 79 KRUSTINOV, G.; MILEV, M.; TOPALOV, I. - Autologous and homologous transplantation of the heart with both lungs in an experiment. Khirurgiia (Sofiia), 24: 444-449, 1971.

[80] 80 LANG, T. W.; BAZIKA, V:; PAPPELBAUM, S.; GOULD, H.; BERNSTEIN, H.; HERROLD, G.; CORDAY, E. - Autotransplanted heart-lung and cerebral venous shunt preparations: two new technics for pharmacologic assay of cardiovascular drugs. Am. J. Cardiol, 16: 695-700, 1965.

[81] 81 LEMIRE, F.; TAKIK, A. J.; HAGLER, D. J. - Asymetric left atrial enlargement:an echocardiographic observation. Chest, 69: 779-781, 1976.

[82] 82 LE ROUX, B. T. & GOTSMAN, M. S. - Giant left atrium. Thorax, 25: 190-198, 1970.

[83] 83 LOWER, R. R.; STOFER, R. C; SHUMWAY, N. E. - Homovital transplantation of the heart. J. Thorac. Cardiovasc. Surg, 41: 196-204, 1961.

[84] 84 LUCAS, D. S.; MAHRER, P. R.; STEINBERG, I. - Angiographic and physiological correlation in mitral stenosis. Circulation, 17: 567-575, 1958.

[85] 85 LUTEMBACHER, R. - Aneurysm of the left auricle. Arch. Mal. Coeur, 10: 145, 1917.

[86] 86 McKENNEY, R. N. & MELVIN, K. - Successful surgical reppair in a patient with mitral stenosis, calcified left atrium and severe tricuspid regurgitation with a giant right atrium. Can. J. Surg, 30: 264-265, 1987.

[87] 87 McKEOWN, P. P.; TABAYASSHI, K.; MIYAMOTO, M.; THOMAS, R.; TOGO, T.; TSUBOI, H. - Cardiac transplantation without cardiopulmonary bypass: experimental model to study growth of the transplanted heart. Surgery, 104: 489-493, 1988.

[88] 88 MAHAIM, I. - Aneurysm of the left auricle. Medicine, 10: 210, 1929.

[89] 89 MAHAPATA, S.; GOLBERG, M. J.; RYAN, J. M.; RUBENFIRE, M.; CASCADE, P. N. - Progressive extreme biatrial enlargement following mitral valve replacement. Chest, 84: 306-308, 1983.

[90] 90 MATSUDA, H.; NAKAO, M.; NOHARA, H.; HIGAMI, T.; MUKOHARA, N.; ASADA, T.; OGAWA, K.; KAWAMURA, T. - The causes of prolonged postoperative respiratory care in mitral valve disease with a giant left atrium. Jpn. J. Thorac. Surg, 43: 172-182, 1990.

[91] 91 MATSUDA, H.; NAKAO, M.; NOHARA, H.; HIGAMI, T.; MUKOHARA, N.; ASADA, T.; OGAWA, K.; KAWAMURA, T. - The causes of prolonged postoperative respiratory care in mitral valve disease with a giant left atrium. Kyobu Geka, 43: 172-177, 1990.

[92] 92 MINKOWSKI, O. - Demonstation eines herzens mit ungewohnlic starken dilation der vorhofe. Munchen Med. Wschr, 51: 182, 1904.

[93] 93 MOHANTY, P. K.; THAMES, M. D.; CAPEHEART, J. R. - Afferent reinnervation of the autotransplanted heart in dogs. J. Am. Coll. Cardiol, 7: 414, 1986.

[94] 94 MOSS, A. J.; SCHWARTZ, P. J.; CARAMPTON, R. S.; LOCATI, E.; CARLEEN, E. - The long QT syndrome: a prospective international study. Circulation, 71: 17-21, 1985.

[95] 95 NAKAE, S.; WEBB, W. R.; THEODORIDES, T.; SUGG, W. L. - Respiratory function following cardiopulmonary denervations dog, cat, and monkey. Surg. Gynecol. Obstet, 125: 1285-1292, 1967.

[96] 96 NASSERI, M.; EISELE, R.; KOTTER, D.; KASPAR, F.; PAEPRER, H. - Ventilation and hemodynamics after complete cardiopulmonary autotransplantation. Langenbecks Arch. Chir. 331: 108-118, 1972.

[97] 97 NICHOLS, C. F. & OSTRUM, H. W. - Unusual dilatation of the auricle. Am. Heart J, 8: 205-216, 1933.

[98] 98 NORVELL, J. E. & LOWER, R. R. - Degeneration and regeneration of the nerves of the heart after transplantation. Transplantation, 15: 337-344, 1973.

[99] 99 NOVITSKY, D. COOPER, D. K.; ROSE, A. G.; ISAACS, S.; BONIASZCZUK, F.; SMITH, J. A.; REICHART, B.; ITURRALDE, M. P. - The effects of denervation and acute rejection of left ventricular volumes measured by radionuclide ventriculography following cardiac transplantation in the chacma baboon. Semin. Nucl. Med, 18: 213-220, 1988.

[100] 100 OWEN, I. & FENTON, W. J. - A case of extreme dilatation of the left auricle of the heart. Trans. Clin. Soc. London, 34: 183-191, 1901.

[101] 101 PAGAN, V.; GRIGGIO, L.; LOSI, C.; CIGAINA, V.; ZOTTI, E. F. - Experimental autotransplant of the sinoatrial node in the area of the coronary sinus. Chir. Patol. Sper, 28: 73-79, 1980.

[102] 102 PARKER, J. O.; CONNELL, W. F.; LYNN, R. B. - Left atrial aneurysm. Am. J. Cardiol, 20: 579-582,1967.

[103] 103 PARSONNET, A. E.; BERNSTEIN, A.; MARTLAND, H. S. - Massive left auricle with special reference to its etiology and mechanism: report of case. Am. Heart J, 31: 438-450, 1946.

[104] 104 PASTOR, B. H.; FORTE, A. L. - Idiopathic enlargement of the right atrium. AM. J. Cardiol, 8: 513-518,1961.

[105] 105 PECH, H. J.; WARNKE, D.; MÜNTER, W. - Vergleich der berechneten mitralklappenoffnungsflasche mit dem angiokardiographisch ermittelten volumen des linken verhofes bei mitralstenosen. Fortsch. Roentgenstr, 108: 296, 1968.

[106] 106 PEEL, A. A. F. - Dilatation of the auricles resulting from heart block. Lancet, 2: 1248, 1929.

[107] 107 PEISS, C. N.; COOPER, T.; WILLMAN, V. L; RANDALL, W. C. - Circulatory responses to electrical and reflex activation of the nervous system after cardiac denervation. Cir. Res, 19: 153-166, 1966.

[108] 108 PEPINO, P.; VOLPE, M.; ROSE, A.; PANZA, A.; LEMBO, G.; PIGNALOSA, S.; BARR, M. L.; COVINO, E.; CONDORELLI, M.; SMITH, C. R. - Effects of complete denervation on atrial natriuretic factor release in baboons. J. Surg. Res, 53: 43-47, 1992.

[109] 109 PFEIFFER, D.; FIEHRING, H.; WARNKE, H.; PECH, N. - Lechenie takhiaritmii u bolnoi s sindromon udlinennogo intervala Q-T s pomoshch'iu autotransplantasii sedtsa i stimuliatsii predserdii, upravliaemoi sinusovym uzlom. Kardiologiia, 30: 90-92, 1990.

[110] 110 PFEIFFER, D.; FIEHRING, H.; WARNKE, H.; PECH, H. J.; JENSSEN, S. - Treatment of tachyarrythmia in a patient with the long QT syndrome by autotransplantation of the heart and sinus node-triggered atrial pacing. J. Thorac. Cardiovasc. Surg, 104: 491-494, 1992.

[111] 111 PICCOLI, G. P.; MASSINI, C; EUSANIO, G.; BALLERINI, L.; IACOBONE, G.; SORO, A.; PALMINIELLO, A. - Giant left atrium and mitral valve disease: early and late results o surgical treatment in 40 cases. J. Thorac. Cardiovasc. Surg, 25: 328-336, 1984.

[112] 112 PIWNIKA, A.; BLONDEAU, R.; D'ALLAINES, C.; DUBOST, C. - Le chirurgie des cardiopathies mitrales avec ectasie de I'oreillette gauche. Arch. Mal. Coeur, 60: 1532, 1967.

[113] 113 PLASCHKES, J.; BORMAN, J. B.; MERIN, G.; MILWIDSKY, H. - Giant left atrium in rheumatic heart disease. Ann. Surg, 174: 194-201, 1971.

[114] 114 REITZ, B. A.; BURTON, N. A.; JAMIESON, S. W. - Heart and lung transplantation, autotransplantation and allotransplantation in primates and extended survival. J. Thorac. Cardiovasc. Surg, 80: 360, 1980.

[115] 115 REITZ, B. A.; DONG, E.; STINSON, E. B. - The Bainbridge reflex in canine cardiac auto transplants. Circulation, 43: 136, 1971.

[116] 116 ROBERTS, W. C.; HUMPHRIES, J. O.; MORROW, A. G. - Giant right atrium in rheumatic mitra stenosis: atrial enlargement restricted by mural calcification. A. Heart J, 79: 28-35, 1970.

[117] 117 ROGERS, W. R. & WITTELS, B. - Extreme bilateral atriomegaly: review of the literature and repport of a case. Circulation, 15: 434-441, 1957.

[118] 118 ROSLER, H. & WEISS, K. - Über die Veranderung des oesophagusverlaufes durch de vergrosserten linken vorhof. Fortschr. Geb. Roentgen Strahlen, 33: 717, 1925.

[119] 119 ROSSELET, A.; BACH, E. A. - Case of aneurysm of the left auricle. Arch. Mal. Coeur, 17: 145, 1924.

[120] 120 RUBIN, S. A. & HIGHTOWER, C. W.; FLICKER, S. - Giant right atrium after mitral valve replacement: plain film findings in 15 patients. Am. J. Roentegenol, 149: 257-260, 1987.

[121] 121 SAIGUSA, M.; MORIMOTO, K.; KOIKE, T.; HORI, T.; SATO, T. - Idiopathic enlargement of the right atrium. Jpn. Heart J, 3: 373-379, 1962.

[122] 122 SALERNO, T. A.; HOUCK, J. P.; BARROZO, C. A. M. - Retrograde continuous warm blood cardioplegia: a new concept in myocardial protection. Ann. Thorac. Surg, 51: 245-247, 1991.

[123] 123 SANDERUG, A.; GARMNA, D.; HATLE, L. - Aneurysmal dilatation of the left auricle. Scand. J. Thorac. Cardiovasc. Surg, 5: 143-146, 1971.

[124] 124 SCHELD, H. H.; NESTLE, H. W.; KLING, D.; STERMANN, N. A.; LANGEBARTELS, H.; HEHRLEIN, F. W. - Ressection of a tumor using autotransplantation. J. Thorac. Cardiovasc. Surg, 36: 40-43, 1988.

[125] 125 SCHMIDT-HABELMAN, P.; PONTO, R.; ZAMORA, R.; CASTANEDA, A. - Pulmonary function studies following cardiopulmonary autotransolantation in primates (baboons) using Xenon-133. Res. Exp. Med. (Berlin), 157: 226-228, 1972.

[126] 126 SCHOTT, A. - Extreme dilatation of the left auricle. Klin. Wchnschr, 3: 1067, 1924.

[127] 127 SCHWARTZ, S. I.; LILLEHEI, R. C.; SHIRES, G. T.; SPENCER, F. C.; STORER, E. - Principles of Surgery, vol. 2: 983, 1972.

[128] 128 SEKI, S.; TITUS, J. L.; DANIELSON, G. K. - Cardiac growth after cardiac autotransplantation in calves. J. Thorac. Cardiovasc. Surg, 62: 631-637, 1971.

[129] 129 SEMANS, J. H. & TAUSSIG, H. B. - Congenital "aneurysmal" dilatation of the auricle. Bull. Johns Hopkins Hosp, 63: 404, 1938.

[130] 130 SERRA, A. J.; Mc NICHOLAS, K. W.; LEMOLE, G. M. - Giant left atrium as a cause of left pulmonary artery obstruction. Ann. Thorac Surg, 43: 329-331, 1987.

[131] 131 SHANAHAN, E. A.; DAGGETT, W. M.; LEAK, L. V. - Functional, matabolic and structural studies of the chronic canine autotransplant. J. Surg. Res, 13: 269-281, 1972.

[132] 132 SHARER, R. M.; ANIX, W.; ALLEY, R. - Congenital enlargement of the left atrium. J. Thorac. Cardiovasc. Surg, 63: 292-299, 1972.

[133] 133 SHAW, H. B. - A case of extreme dilatation of the left auricle. Lancet, 2: 493-494, 1924.

[134] 134 SLOAN, S.; POLLOCK, R. C.; KIRSHBAUM, J.; FREEDMAN, T. - Massive dilatation of the left auricle: report of three cases. Ann. Intern. Med, 40: 75-91, 1954.

[135] 135 SMITH, N. T.; GERSHWIN, M. E.; HURLEY, E. J. - Hemodynamic effects of ouabain on the surgically denervated, autotransplanted dog heart. Arch. Int. Pharmacodyn. Ther, 173: 95-114, 1968.

[136] 136 SMITH, N. T. & HURLEY, E. J. - Citrate infusion in dogs following cardiac autotransplantation: studies on cardiovascular effects. Arch. Surg, 98: 44-48, 1969

[137] 137 STEEL, D. - Extreme dilatation of the left auricle. Am J. Roentgenol, 26: 67-73, 1931.

[138] 138 STEELE Jr., J. M. & PATTERSON, R. - Distortion of the bronchi by left auricle enlargement. Am. Heart J, 4: 692, 1928.

[139] 139 TAJIK, A. J.; BROADBENT, J. C; SHATTENBERG, T. T. - Idiopathic right atrial enlargement with pericardial effusion. Chest, 63: 450-453, 1973.

[140] 140 TAUSSIG, B. L. - A case of ticuspid stenosis with enormous dilatation of the right auricle. Am. Heart J, 14; 744-752, 1937.

[141] 141 TAYLOR, D. G. - Preservation and reimplantation of the heart in dogs. Ann. Chir. Thorac. Cardiovasc, 5: 247-248, 1966.

[142] 142 TENCKHOFF, L.; STAMM, S. J.; BECKWITH, J. B. - Sudden death in idiopathic (congenital) right atrial enlargement. Circulation, 40: 227-235, 1969.

[143] 143 THADANI, V.; WHITAKER, W.; WATSON, D. A. - Congenital intrapericardial aneurysm of the left atrium. Thorax, 30: 102-109, 1975.

[144] 144 THAMES, M. D.; ZUBAIR, H.; BRACKETT, N. C; LOWER, R. R.; KONTOS, H. A. - Plasma renin responses to hemorrage after cardiac autotransplantation. Am. J. Physiol, 221: 1115-1119, 1971.

[145] 145 TILL, J. A.; SHINEBOURNE, E. A.; PEPPER, J.; CAMM, A. J.; WARD, D. E. - Complete denervation of the heart in a child with congenital long QT and deafness. Am. J. Cardiol, 62: 1319-1321, 1988.

[146] 146 TOUNTAS, C.; AREALIS, E.; ANDREADIS, P.; KIRIAKOU, K. - Total heart transplantation with preservation of its anatomo-physiologic relations: personal technique. J. Chir. (Paris), 97: 79-86, 1969.

[147] 147 TOUNTAS, C.; KIRIAKOU, K.; KARAPISTOLIS, E.; AREALIS, E.; GEORGOPOULOS, A.; ANDROULAKIS, G. - Heart autotransplantation in dogs: a new techical approach. Bull. Soc. Int. Chir, 28: 219-223, 1969.

[148] 148 VENNER, A. - Massive left atrium and mitral valvotomy. Brit. Med. J, 1: 1359, 1954.

[149] 149 WANG, T.; ANAGNOSTOPOULOS, C. E.; RESNEKOV, L. - Aneurysm of the body of the left atrium presenting with chest pain. Chest, 67: 226-229, 1975.

[150] 150 WILLIAMS, J. M.; UNGERLEIDER, R. M.; LOFLAND, G. K.; COX, J. L. - Left atrial isolation: new technique for the treatment of supraventricular arrythmias. J. Thorac. Cardiovasc. Surg, 80: 373-380, 1980.

[151] 151 WILLMAN, V. L.; COOPER, T.; CION, L. G. - Autotransplantation of the heart. Surg. Gynecol. Obstet, 115: 299, 1962.

[152] 152 WILLMAN, V. L.; COOPER, T.; HANLON, C. R. - Coronary blood flow in dogs after cardiac transplantation. JAMA, 195: 206-207, 1966.

[153] 153 WILLMAN, V. L.; COOPER, T.; HANLON, C. R. - Return of neural responses after autotransplantation of the heart. Am. J. Physiol, 207: 187-189, 1964.

[154] 154 WILLMAN, V. L.; COOPER, T.; KAIZER, G. C.; HANLON, C. R. - Cardiovascular response after cardiac autotransplantation in primate. Arch. Surg, 91: 805-806, 1965.

[155] 155 WILLMAN, V. L.; MERJAVY, J. P.; PENNELL, R.; HANLON, C. R. - Response of the autotransplanted heart to blood volume expansion. Ann. Surg, 166: 513, 1967.

[156] 156 WONG, C. K.; LAU, C, P.; CHENG, C. H.; LEUNG, W. H.; CHANG, T. Y.; PUN, K. K. - Elevated atrial natriuretic peptide level in giant atrium complicating Marfan's syndrome. Eur. Heart J, 10: 863-864, 1989.

[157] 157 ZIMIN, N. K.; KORMER, A. I. - Experimental autotransplantation of the heart. Kardiologiia, 17: 126-130, 1977.