使用TransMedics器官护理系统在体外时长十小时后成功进行心脏移植。
Successful Heart Transplant after Ten Hours Out-of-body Time using the TransMedics Organ Care System.
作者信息
Stamp Nikki L, Shah Amit, Vincent Viji, Wright Brian, Wood Clare, Pavey Warren, Cokis Chris, Chih Sharon, Dembo Lawrence, Larbalestier Rob
机构信息
Department of Cardiothoracic Surgery, Royal Perth Hopsital, Perth, WA.
Advanced Heart Failure and Cardiac Transplantation Service, Department of Cardiology, Royal Perth Hospital, Perth, WA.
出版信息
Heart Lung Circ. 2015 Jun;24(6):611-3. doi: 10.1016/j.hlc.2015.01.005. Epub 2015 Feb 6.
OBJECTIVE
We report the successful transplantation of a heart following an out-of-body time of 611 minutes into a recipient with dilated cardiomyopathy and left ventricular assist device implant.
PATIENTS
Our patient was urgently waiting for a cardiac transplant whilst receiving LVAD support. Recurrent VF and repeated AICD shocks necessitated this action.
RESULTS
Although requiring ECMO and inotropic support in the first 17 hours post-transplant, the patient was discharged from hospital on day 15 post-transplant with normal cardiac function.
CONCLUSION
We report some of the salient points of the process and discuss the utility of this technology to an Australian transplant unit.
目的
我们报告了将一颗体外保存611分钟的心脏成功移植到一名患有扩张型心肌病且植入了左心室辅助装置的受者体内的案例。
患者
我们的患者在接受左心室辅助装置支持的同时紧急等待心脏移植。反复出现的室颤和自动植入式心律转复除颤器多次电击促使了这一行动。
结果
尽管在移植后的前17小时需要体外膜肺氧合和血管活性药物支持，但患者在移植后第15天出院，心功能正常。
结论
我们报告了该过程的一些要点，并讨论了这项技术对澳大利亚一个移植单位的实用性。
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