Heart recovery from a brain-dead donor with a history of Ravitch procedure for repair of pectus excavatum.

IF 1.3 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiac Surgery Pub Date : 2022-12-01 DOI:10.1111/jocs.17065
Matan Grunfeld, Suguru Ohira, Joshua Choe, Gregg M Lanier, Kathryn Martin, David Spielvogel, Masashi Kai
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Abstract

Background: We describe the successful heart transplantation of a brain-dead male donor with a remote history of pectus excavatum repair.

Method and results: On computed tomography, the ascending aorta was in close proximity to metallic struts from the donor's sternal repair. Before harvesting the heart, visual and digital inspections revealed minimal space between the sternum and ascending aorta, complicated by severe adhesions in the lower sternum. After the pericardium was opened, the subsequent recovery of the heart was performed in a standard fashion. At one-year post-transplant, the recipient continues to have normal graft function.

Conclusions: Careful evaluation, intraoperative consideration, and coordination with other transplant teams were essential in the successful recovery of the heart during a time of organ shortages.

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脑死亡供体心脏恢复,有拉维奇手术修复漏斗胸的历史。
背景:我们描述了一个成功的脑死亡男性供体心脏移植与远历史的漏斗胸修复。方法和结果:在计算机断层扫描上,升主动脉靠近供体胸骨修复的金属支柱。在采集心脏之前,视觉和数字检查显示胸骨和升主动脉之间的空间很小,并伴有胸骨下部严重的粘连。心包打开后,随后的心脏恢复按标准方式进行。移植后一年,受者继续具有正常的移植物功能。结论:在器官短缺的情况下,仔细的评估、术中考虑以及与其他移植团队的协调对于心脏的成功恢复至关重要。
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来源期刊
CiteScore
2.90
自引率
12.50%
发文量
976
审稿时长
3-8 weeks
期刊介绍: Journal of Cardiac Surgery (JCS) is a peer-reviewed journal devoted to contemporary surgical treatment of cardiac disease. Renown for its detailed "how to" methods, JCS''s well-illustrated, concise technical articles, critical reviews and commentaries are highly valued by dedicated readers worldwide. With Editor-in-Chief Harold Lazar, MD and an internationally prominent editorial board, JCS continues its 20-year history as an important professional resource. Editorial coverage includes biologic support, mechanical cardiac assist and/or replacement and surgical techniques, and features current material on topics such as OPCAB surgery, stented and stentless valves, endovascular stent placement, atrial fibrillation, transplantation, percutaneous valve repair/replacement, left ventricular restoration surgery, immunobiology, and bridges to transplant and recovery. In addition, special sections (Images in Cardiac Surgery, Cardiac Regeneration) and historical reviews stimulate reader interest. The journal also routinely publishes proceedings of important international symposia in a timely manner.
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