Heart transplantation from an extended criteria donation after circulatory death donor.
- Resource Type
- Article
- Authors
- Vokshi, Ismail; Large, Stephen; Berman, Marius; Tsui, Steven
- Source
- European Journal of Cardio-Thoracic Surgery. Aug2022, Vol. 62 Issue 2, p1-3. 3p.
- Subject
- *HEART transplantation
*ARTIFICIAL blood circulation
*EXTRACORPOREAL membrane oxygenation
*ISOLATION perfusion
*AORTIC dissection
- Language
- ISSN
- 1010-7940
Transplantation of donation after circulatory death (DCD) donor hearts is gaining acceptance. However, DCD heart selection has been understandably cautious. We report a case of reconditioning a DCD heart using thoraco-abdominal normothermic regional perfusion in a 46-year-old donor who suffered irreversible brain injury following emergency type-A aortic dissection repair. The DCD heart was procured with cold preservation and directly transplanted into a 63-year-old male who was bridged to transplant with extracorporeal life support. The recipient required a brief period of mechanical circulatory support post-transplant but made a good recovery. To our knowledge, this is the first report of successful heart transplantation from such an extended criteria DCD donor. [ABSTRACT FROM AUTHOR]