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循环死亡后心脏移植热缺血后出现的收缩期前向运动和严重二尖瓣反流新发情况

New Onset of Systolic Anterior Motion and Severe Mitral Regurgitation after Warm Ischemia in Donation after Circulatory Death Heart Transplantation.

作者信息

Albiol M Pozo, Arguis M J, Carretero M J, Otero S Martínez, Caravaca P, Alcocer J, Ripoll R Navarro

机构信息

Department of Anesthesiology, IDIBAPS, Hospital Clínic, University of Barcelona, 10 Villarroel St, Barcelona, Spain.

Department of Cardiology, IDIBAPS, Hospital Clínic, University of Barcelona, 10 Villarroel St, Barcelona, Spain.

出版信息

Ann Card Anaesth. 2025 Jan 1;28(1):69-71. doi: 10.4103/aca.aca_95_24. Epub 2025 Jan 24.

Abstract

Donation after circulatory death is helping to expand the donor pool for heart transplantation. Nevertheless, these hearts are more susceptible to myocardial edema and decision of accepting the organ can be a challenge for the heart transplant team. Hemodynamic and echocardiographic criteria are used routinely, but there is still a lack of strong evidence that supports the decision-making in particular situations. That is why the authors found useful to analyze a case with a good outcome that could help accepting more organs in a situation of shortage.

摘要

心脏死亡后器官捐献有助于扩大心脏移植的供体库。然而,这些心脏更容易发生心肌水肿,对于心脏移植团队来说,决定是否接受该器官可能是一项挑战。血流动力学和超声心动图标准是常规使用的,但仍然缺乏有力证据支持在特定情况下的决策制定。这就是为什么作者认为分析一个结局良好的病例很有用,这可能有助于在器官短缺的情况下接受更多器官。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f96/11902363/dc647f0b837d/ACA-28-69-g001.jpg

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