title: A practical approach to clinical lung transplantation from a Maastricht Category III donor with cardiac death.
abstract: Although donation after cardiac death (DCD) has the potential to provide a novel source of organs for lung transplantation, even in a controlled DCD situation such as a Maastricht Category III donor (withdrawal of treatment), the limited time frame available after the declaration of death to initiate procurement and preservation remains challenging. Indeed, no publication has detailed the exact time frames and technique applicable for successful Maastricht Category III DCD lung procurement. In this patient report, withdrawal of life-support treatment and death certification was performed in the intensive care unit and the lungs were procured in an operating room 49 minutes after cardiac arrest and successfully transplanted (cold ischemia time <6 hours) into a severely ill recipient with primary pulmonary hypertension.
authors.affiliation: Lung Transplant Service, The Alfred Hospital and Monash University, Melbourne, Australia.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Oto
authors.forename: Bronwyn
authors.initials: B
authors.lastname: Levvey
authors.forename: Robin
authors.initials: R
authors.lastname: McEgan
authors.forename: Andrew
authors.initials: A
authors.lastname: Davies
authors.forename: David
authors.initials: D
authors.lastname: Pilcher
authors.forename: Trevor
authors.initials: T
authors.lastname: Williams
authors.forename: Silvana
authors.initials: S
authors.lastname: Marasco
authors.forename: Franklin
authors.initials: F
authors.lastname: Rosenfeldt
authors.forename: Gregory
authors.initials: G
authors.lastname: Snell
mesh_terms: D000328:Adult; D016757:Death, Sudden, Cardiac; D006801:Humans; D016040:Lung Transplantation; D008297:Male; D014019:Tissue Donors / Q000145:classification*; D009927:Tissue and Organ Procurement / Q000592:standards