May 30, 2020

Successful Combined Heart-Lung Transplant from a Donation after Circulatory Determined Death (DCD) Donor

The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation
Simon MesserP Catarino

Abstract

For patients with end stage heart failure and fixed pulmonary hypertension, combined heart-lung transplantation offers the only possibility of survival with a return to a normal quality of life. Unfortunately, due to the severe scarcity of donation after brain death (DBD) organs it is rarely performed. We present the first successful combined heart lung transplant from a DCD donor. A 24-year-old male born with transposition of the great arteries, pulmonary stenosis and a ventricular septal defect (VSD) was operated in childhood with the arterial switch operation and closure of VSD. He continued to suffer with pulmonary hypertension in childhood treated with pulmonary vasodilators. He was referred to our institute in decompensated heart failure and listed for combined heart and lung transplantation, (table 1). After 3 months on the urgent list with no suitable DBD donor offers, the possibility of DCD transplantation was discussed. He matched for a DCD heart-lung bloc 109 days after his original listing and 17 days after listing for a DCD organ. The donor was a 29 year old male motorcyclist who suffered a 30 minute hypoxic cardiac arrest following a road traffic accident (table 1). The potential donor was treated for Staphylococc...Continue Reading

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Mentioned in this Paper

Transplantation
Pneumonia
Lung
Operative Surgical Procedures
Arteries
Organ
Birth
Physiologic Organization
Staphylococcus aureus
Male Population Group

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