title: [Experiences of cardiopulmonary bypass for heart transplantation].
abstract: OBJECTIVE
  To summarize the experiences of cardiopulmonary bypass (CPB) techniques in 15 patients of orthotopic heart transplantation.
  
  
  METHODS
  All patients received mild hypothermia and high flow rate perfusion. Effective strategies were taken to protect myocardium, lung, kidney, and blood conservation. The donor hearts were arrested with aorto perfusion using 1 000 ml St. Thomas solution at 4 degrees C, perfused with 1 000 ml University of Wiscosin (UW) solution or Histidin-Tryptophan-Ketoglutarat (HTK) solution at 4 degrees C, and then preserved in ice saline. Ice mud was covered on the donor heart during anastomosis. Low potassium cardioplegia solution was perfused before the unclamping of aorta.
  
  
  RESULTS
  The CPB time was (165.2 +/- 22. 8) min, the warm ischemia time was ( 7. 7 +/- 1. 7) min, and the cold ischemia time was ( 142. 4 +/- 11. 5) min. Heart beats was automatically recovered in 10 patients, and was recovered upon defibrillation in 5 patients. Left ventricular ejection fractions were (64. 1 +/- 4. 6) % after one month. All patients survived.
  
  
  CONCLUSIONS
  Proper CPB management and effective donor heart protection are essential to guarantee the success of heart transplantation.
authors.affiliation: Department of Cardiopulmonary Bypass, Cardiovascular Institute and Fuwai Hospital, CAMS and PUMC, Beijing 100037, China. heifeilong@yahoo.com
authors.forename: Fei-Long
authors.initials: FL
authors.lastname: Hei
authors.forename: Shi-Gang
authors.initials: SG
authors.lastname: Wang
authors.forename: Cun
authors.initials: C
authors.lastname: Long
mesh_terms: D002315:Cardiopulmonary Bypass; D016027:Heart Transplantation / Q000379:methods*; D006801:Humans