A Practical Approach to Clinical Lung Transplantation From a Maastricht Category III Donor With Cardiac Death

Takahiro Oto, Bronwyn Levvey, Robin McEgan, Andrew Davies, David Pilcher, Trevor Williams, Silvana Marasco, Franklin Rosenfeldt, Gregory Snell

Research output: Contribution to journalArticlepeer-review

41 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)196-199
Number of pages4
JournalJournal of Heart and Lung Transplantation
Volume26
Issue number2
DOIs
Publication statusPublished - Feb 2007
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine
  • Transplantation

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