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Heart transplantation from controlled donation after circulatory death using thoracoabdominal normothermic regional perfusion and cold storage
Author(s) -
Nistal Juan F.,
Cobo Manuel,
Larraz Eduardo,
Juárez Carlos,
Ballesteros María Á.
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15733
Subject(s) - medicine , circulatory system , donation , perfusion , transplantation , heart transplantation , organ donation , cold storage , machine perfusion , cardiology , surgery , liver transplantation , economics , horticulture , biology , economic growth
Background : Heart transplantation from controlled donation after the circulatory determination of death (cDCDD) may be an option to increase the pool of grafts for transplantation. Materials and Methods : Initial experiences on cDCDD heart transplantation were based on the direct procurement of the heart followed by preservation with ex situ perfusion devices. Later, the use of thoracoabdominal normothermic regional perfusion (TA‐NRP) has emerged as an option to recover hearts. We present a case of a heart transplant using a graft from controlled donation after circulatory death. Cardiac preservation was performed by postmortem TA‐NRP followed by cold storage. Ex situ perfusion device was not used. Discussion and Conclusion : This is one of the first published cases of a controlled donation after circulatory death heart retrieved using only TA‐NRP and successfully transplanted.