Successful aortic arch cannulation and perfusion of a heart donated after circulatory death: A case report.

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Perfusion-Uk Pub Date : 2024-10-01 Epub Date: 2023-09-05 DOI:10.1177/02676591231200986

Mats T Vervoorn, Paul van Kaam, Mostafa M Mokhles, Niels P van der Kaaij, Monica Gianoli

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引用次数: 0

Abstract

Introduction: We describe successful aortic arch cannulation and perfusion of a heart donated after circulatory death using the Transmedics Organ Care System™.

Case report: A 47-year old man developed advanced heart failure symptoms after prior mustard operation for transposition of the great arteries. He matched a DCD-donor and required an elongated aorta for implantation due to his altered anatomy. The donor heart was retrieved and successfully perfused via aortic arch cannulation for 4.5 h with satisfactory perfusion parameters.

Disussion: Although Transmedics advises against aortic arch cannulation due to concerns regarding malperfusion, satisfactory and safe perfusion can be achieved by careful positioning of the heart. Awareness and attention to the occurrence of malperfusion is mandatory, especially during transport, to achieve satisfactory outcome.

Conclusion: Aortic arch cannulation is feasible without compromising quality of perfusion. This is relevant for patient that require an elongated aorta after surgically corrected congenital heart disease.

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成功为循环死亡后捐献的心脏进行主动脉弓插管和灌注：病例报告。

导言：我们描述了使用 Transmedics 器官护理系统™ 成功为循环死亡后捐献的心脏进行主动脉弓插管和灌注的情况：病例报告：一名 47 岁的男性在接受芥子气手术治疗大动脉转位后出现晚期心衰症状。他匹配了一个 DCD 供体，但由于解剖结构改变，需要一个加长的主动脉进行植入。供体心脏取回后，通过主动脉弓插管成功灌注了4.5小时，灌注参数令人满意：讨论：尽管 Transmedics 因担心灌注不良而建议不要进行主动脉弓插管，但通过仔细定位心脏可以实现令人满意的安全灌注。为了获得满意的结果，必须意识到并关注灌注不良的发生，尤其是在运送过程中：结论：在不影响灌注质量的情况下，主动脉弓插管是可行的。结论：主动脉弓插管是可行的，且不会影响灌注质量，这与手术矫正先天性心脏病后需要拉长主动脉的患者息息相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Perfusion-Uk 医学-外周血管病

CiteScore

3.00

自引率

8.30%

发文量

203

审稿时长

6-12 weeks

期刊介绍： Perfusion is an ISI-ranked, peer-reviewed scholarly journal, which provides current information on all aspects of perfusion, oxygenation and biocompatibility and their use in modern cardiac surgery. The journal is at the forefront of international research and development and presents an appropriately multidisciplinary approach to perfusion science.