We present a young female patient with three caval drainages after complete Fontan's
procedure and with bilateral bidirectional cavopulmonary connections who underwent
orthotopic heart transplantation. Instead of reconstructing the hypoplastic innominate
vein the persistent left superior caval vein was reanastomosed via the recipient's
coronary sinus into the right atrium.
Heart transplantation - Fontan - cavopulmonary connection - coronary sinus - left
superior caval vein