Heart and lung grafts harvested en bloc: operative technique, utilization, and results.

Hinkamp, T J; Montoya, A; Bakhos, M; Sullivan, H J; Blakeman, B P; Calandra, D B; Houck, J P; Gunnar, W; Stout, M; Siebold, K

Hinkamp, T J; Montoya, A; Bakhos, M; Sullivan, H J; Blakeman, B P; Calandra, D B; Houck, J P; Gunnar, W; Stout, M; Siebold, K.

Afiliación

Hinkamp TJ; Department of Thoracic and Cardiovascular Surgery, Loyola University Medical Center, Maywood, Illinois 60153.

Ann Thorac Surg ; 56(6): 1381-5, 1993 Dec.

Article en En | MEDLINE | ID: mdl-8267440

RESUMEN

Combined heart and lung transplantation has been shown to provide successful therapy for patients with end-stage heart and lung disease. The improved success of lung transplantation has resulted in increasing number of potential recipients and longer waiting times. Maximal utilization of all three thoracic organs is no longer a casual goal but of utmost necessity. We devised a new technique that improves operative visualization, decreases dissection time, and ensures excellent preservation of all three thoracic organs. Bench dissection after extraction of this heart-lung block allows the thoracic and cardiac surgeons to agree on precise dissection of the left atrium and adequate pulmonary venous and atrial cuff. This technique has been used in 48 of our last 50 harvests with excellent results. Utilization of heart and lungs has been 93% and 74%, respectively.

Asunto(s)

Trasplante de Corazón-Pulmón/métodos; Corazón; Pulmón; Preservación de Órganos/métodos; Humanos; Persona de Mediana Edad; Donantes de Tejidos

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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Preservación de Órganos / Trasplante de Corazón-Pulmón / Corazón / Pulmón Límite: Humans / Middle aged Idioma: En Revista: Ann Thorac Surg Año: 1993 Tipo del documento: Article Pais de publicación: Países Bajos

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