比较，发现BOHT的右心房压下降，临床效果明显优于SOHT。他们还证实［13］，保留右心房的完整性，不但维持了心房的正常搏动，而且使它对心脏排出的作用得到保留，而受者的左心房后壁的保留使手术操作较TOHT简便，这样可缩短手术时间。有作者将BOHT与SOHT相比，发现供心缺血时间并没有因为分别吻合上、下腔静脉而明显延长。
由于受者的右心房及窦房结已被切除，因此左心房残余部分将无明显的节律性收缩，这部分组织将随着供心左心房的运动而出现被动的反常运动，尽管它不那么强烈，但对血流动力学的影响还是存在的。Deleuze等［14］比较BOHT和SOHT，发现尽管BOHT有不少方面优于SOHT，但二尖瓣返流的发生率无明显差别，这可能与保留受者的左心房后壁有关。
此外，由于BOHT中上、下腔静脉操作与TOHT相同，因此也存在插管困难的问题及术后发生上腔静脉狭窄。
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