title: Successful Heart Transplant after Ten Hours Out-of-body Time using the TransMedics Organ Care System.
abstract: OBJECTIVE
  We report the successful transplantation of a heart following an out-of-body time of 611 minutes into a recipient with dilated cardiomyopathy and left ventricular assist device implant.
  
  
  METHODS
  Our patient was urgently waiting for a cardiac transplant whilst receiving LVAD support. Recurrent VF and repeated AICD shocks necessitated this action.
  
  
  RESULTS
  Although requiring ECMO and inotropic support in the first 17 hours post-transplant, the patient was discharged from hospital on day 15 post-transplant with normal cardiac function.
  
  
  CONCLUSIONS
  We report some of the salient points of the process and discuss the utility of this technology to an Australian transplant unit.
authors.affiliation: Department of Cardiothoracic Surgery, Royal Perth Hopsital, Perth, WA. Electronic address: nikki_stamp@iinet.net.au.
authors.forename: Nikki L
authors.initials: NL
authors.lastname: Stamp
authors.affiliation: Advanced Heart Failure and Cardiac Transplantation Service, Department of Cardiology, Royal Perth Hospital, Perth, WA.
authors.forename: Amit
authors.initials: A
authors.lastname: Shah
authors.affiliation: Department of Anaesthesia, Clinical Perfusion, Royal Perth Hospital, Perth, WA.
authors.forename: Viji
authors.initials: V
authors.lastname: Vincent
authors.affiliation: Department of Anaesthesia, Clinical Perfusion, Royal Perth Hospital, Perth, WA.
authors.forename: Brian
authors.initials: B
authors.lastname: Wright
authors.affiliation: Advanced Heart Failure and Cardiac Transplantation Service, Department of Cardiology, Royal Perth Hospital, Perth, WA.
authors.forename: Clare
authors.initials: C
authors.lastname: Wood
authors.affiliation: Department of Anaesthesia, Clinical Perfusion, Royal Perth Hospital, Perth, WA.
authors.forename: Warren
authors.initials: W
authors.lastname: Pavey
authors.affiliation: Department of Anaesthesia, Clinical Perfusion, Royal Perth Hospital, Perth, WA.
authors.forename: Chris
authors.initials: C
authors.lastname: Cokis
authors.affiliation: Advanced Heart Failure and Cardiac Transplantation Service, Department of Cardiology, Royal Perth Hospital, Perth, WA.
authors.forename: Sharon
authors.initials: S
authors.lastname: Chih
authors.affiliation: Advanced Heart Failure and Cardiac Transplantation Service, Department of Cardiology, Royal Perth Hospital, Perth, WA.
authors.forename: Lawrence
authors.initials: L
authors.lastname: Dembo
authors.affiliation: Department of Cardiothoracic Surgery, Royal Perth Hopsital, Perth, WA.
authors.forename: Rob
authors.initials: R
authors.lastname: Larbalestier
mesh_terms: D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis / Q000601:surgery*; D004867:Equipment Design; D016027:Heart Transplantation / Q000379:methods*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D009926:Organ Preservation / Q000295:instrumentation* / Q000379:methods; D013997:Time Factors; D009927:Tissue and Organ Procurement / Q000379:methods*; D016896:Treatment Outcome
keywords: Cardiomyopathy; ECMO; Heart failure; Heart transplantation; Organ preservation; Transplantation