Operative Techniques and Pitfalls in Donor Heart-Lung Procurement

Heart-lung transplantation is a well-established therapeutic modality for concomitant end-stage heart and lung failure. With growing organ scarcity, the rates of these transplants are declining, and center experience is waning. With over 35 years of experience performing heart-lung transplantation,...

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Bibliographic Details
Published in:Transplantation proceedings 2018-12, Vol.50 (10), p.3111-3112
Main Authors: Salna, M., Shudo, Y., Woo, Y.J.
Format: Article
Language:English
Subjects:
Heart-Lung Transplantation
Humans
Organ Preservation
Tissue and Organ Procurement
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Summary:Heart-lung transplantation is a well-established therapeutic modality for concomitant end-stage heart and lung failure. With growing organ scarcity, the rates of these transplants are declining, and center experience is waning. With over 35 years of experience performing heart-lung transplantation, we describe our procurement protocol herein, as well as offer suggestions to avoid potential pitfalls in order to ensure technical excellence in harvesting these valuable grafts. Procurement issues most commonly arise with organ preservation and inadvertent damage to structures that are difficult to fully visualize. En-bloc heart-lung procurement can be taught effectively and safely to trainees with an emphasis on avoiding common pitfalls that may compromise graft function. •Heart-lung transplantation is an established therapy for combined end-stage heart and lung failure.•Stanford Hospital has over 35 years of experience in procuring these grafts.•We describe our procurement strategies techniques to optimize outcomes.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2018.06.009