Successful non-heart-beating donor organ retrieval in a patient with a left ventricular assist device.
Non-heart-beating donors (NHBD) represent an option to expand the organ supply with good results. We report a donor patient with a left ventricular assist device (LVAD) due to dilated cardiomyopathy in which controlled NHBD was performed. Due to the LVAD, a modified procurement technique was utilized. The liver and kidneys were procured and successfully transplanted. Patients and grafts are alive and well. Successful organ retrieval can be achieved on selected cases of NHBD with LVADs in which modifications of the procurement technique are implemented without jeopardizing the procurement and not increasing preservation injury.
Rayhill
Stephen C
SC
Department of Surgery, University of Iowa College of Medicine, Iowa City, IA, USA. stephen-rayhill@uiowa.edu
Martinez-Mier
Gustavo
G
Katz
Daniel A
DA
Kanchustambam
Subba Rao
SR
Wu
You Min
YM
D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000473:pathology; D006085:Graft Survival; D006352:Heart Ventricles; D006353:Heart-Assist Devices; D006801:Humans; D007668:Kidney / Q000378:metabolism; D016030:Kidney Transplantation / Q000379:methods*; D008099:Liver / Q000378:metabolism; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014019:Tissue Donors; D020858:Tissue and Organ Harvesting / Q000379:methods*