Jamieson S W, Stinson E B, Oyer P E, Baldwin J C, Shumway N E
J Thorac Cardiovasc Surg. 1984 Jun;87(6):930-5.
Combined heart and lung transplantation has now been carried out in 17 patients at Stanford University Hospital. The emphasis on the management of donors is upon thorough tracheobronchial toilet and ensuring an absence of significant cardiopulmonary disease. The most important aspects of the recipient operation are to remove the heart and lungs without injury to the phrenic, vagus, or recurrent laryngeal nerves and to ensure hemostasis. This is best effected if the heart and lungs are removed separately. The operative technique for both the donor and recipient is described.
斯坦福大学医院现已对17名患者实施了心肺联合移植手术。供体管理的重点在于彻底的气管支气管清洁以及确保不存在严重的心肺疾病。受体手术最重要的方面是在不损伤膈神经、迷走神经或喉返神经的情况下摘除心脏和肺,并确保止血。如果分别摘除心脏和肺,这一点最容易实现。文中描述了供体和受体的手术技术。