Photo by matmacq from unsplash
Until recently, only isolated cases of cardiac transplantation utilizing hearts procured from the donation after circulatory death pathway, between co-located donor and recipient, have been reported. The strategy of utilizing… Click to show full abstract
Until recently, only isolated cases of cardiac transplantation utilizing hearts procured from the donation after circulatory death pathway, between co-located donor and recipient, have been reported. The strategy of utilizing supplemented cardioplegia in conjunction with a rapid surgical protocol to reduce warm ischemia, combined with subsequent donor heart evaluation on a portable ex-situ perfusion system, has permitted the use of these extended-criteria organs for successful clinical orthotopic cardiac transplantation in a reliable and reproducible manner. We describe the technique developed and used at St Vincent's Hospital in Sydney, Australia, for distantly procured donation after circulatory death hearts.
Journal Title: Operative Techniques in Thoracic and Cardiovascular Surgery
Year Published: 2017
Link to full text (if available)
Share on Social Media: Sign Up to like & get
recommendations!