Is severe electrolyte imbalance a contraindication for heart transplant?
Owing to the increasing numbers of patients with end-stage congestive heart failure awaiting heart transplant and the limited number of suitable donor organs, a decrease in stringency of donor criteria has become widely accepted over the last decade. Here, we present a case of a heart donor with severe electrolyte imbalance, specifically severe hypokalemia, and severe hypernatremia. Despite this, heart transplant was a success, and the recipient was discharged from the hospital in good general condition. We recommend further study of this issue with a larger sample size.
Isfahan University of Medical Sciences, Chamran's Heart Center, Isfahan, Iran. Mirmohammadsadeghi@med.mui.ac.ir
Mohsen
M
Mir Mohammad Sadeghi
Gholamreza
G
Behdad Mehr
Amir
A
Mir Mohammad Sadeghi
Pouya
P
Mir Mohammad Sadeghi
Shahin
S
Samani
Soheila
S
Mansourian
D000075202:Contraindications; D006333:Heart Failure / Q000601:surgery; D016027:Heart Transplantation; D006801:Humans; D006955:Hypernatremia / Q000150:complications / Q000175:diagnosis; D007008:Hypokalemia / Q000150:complications / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000592:standards*; D016896:Treatment Outcome; D014883:Water-Electrolyte Imbalance / Q000150:complications / Q000175:diagnosis*