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First case report of multivisceral transplant from a deceased cardiac death donor

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اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • بيانات النشر:
      Elsevier BV, 2023.
    • الموضوع:
      2023
    • نبذة مختصرة :
      The current shortage of pediatric multivisceral donors accounts for the long time and mortality on the waiting list of pediatric patients. The use of donors after cardiac death, especially after the outbreak of normothermic regional perfusion, has increased in recent years for all solid organs except the intestine, mainly because of its higher susceptibility to ischemia-reperfusion injury. We present the first literature case of multivisceral donors after cardiac death transplantation in a 13-month-old recipient from a 2.5-month-old donor. Once exitus was certified, an extracorporeal membrane oxygenation circuit was established, cannulating the aorta and infrarenal vena cava, while the supra-aortic branches were clamped. The abdominal organs completely recovered from ischemia through normothermic regional perfusion (extracorporeal membrane oxygenation initially and beating heart later). After perfusion with the preservation solution, the multivisceral graft was uneventfully implanted. Two months later, the patient was discharged without any complications. This case demonstrates the possibility of reducing the time spent on the waiting list for these patients.
      Fil: Stringa, Pablo Luis. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Estudios Inmunológicos y Fisiopatológicos. Universidad Nacional de La Plata. Facultad de Ciencias Exactas. Instituto de Estudios Inmunológicos y Fisiopatológicos; Argentina
      Fil: Andres, Ane M.. European Reference Network; Argentina. Universidad Autónoma de Madrid; España. Hospital Universitario la Paz; España
      Fil: Oliveros, Francisco Hernandez. European Reference Network; Argentina. Hospital Universitario la Paz; España
      Fil: Rodríguez, Javier Serradilla. Hospital Universitario la Paz; España
      Fil: Navarro, Itziar de la Peña. Hospital Universitario la Paz; España
      Fil: Sacristan, Rocio Gonzalez. Hospital Universitario la Paz; España
      Fil: Rocafort, Alvaro Gonzalez. Hospital Universitario la Paz; España
      Fil: Talayero, Paloma. Hospital Universitario 12 de Octubre; España
      Fil: Sánchez Galán, Alba. Hospital Universitario la Paz; España
    • File Description:
      application/pdf
    • ISSN:
      1600-6135
    • الرقم المعرف:
      10.1016/j.ajt.2022.12.021
    • Rights:
      CC BY NC ND
      CC BY NC SA
    • الرقم المعرف:
      edsair.doi.dedup.....a189bfa94e621ff99f7270b34b019e32