Direct Procurement of Donor Heart With Normothermic Regional Perfusion of Abdominal Organs.

Mohite, Prashant N; García Sáez, Diana; Butler, Andrew J; Watson, Christopher J E; Simon, Andre · Ann Thorac Surg · 2019

case_report · Level V

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Abstract

We wanted to evaluate if direct procurement of the heart is possible in combination with normothermic regional perfusion of abdominal organs in donors after circulatory death. A donation after circulatory death pathway was used for a 41-year-old woman after an irreversible brain injury. After meeting criteria for the organ donation, the heart was retrieved and re-animated on ex situ perfusion system, and abdominal organs were perfused with normothermic regional perfusion. All the donated organs and their recipients had excellent short-term outcome. We demonstrated a successful combination of direct procurement of the heart and normothermic regional perfusion of the abdominal organs.

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