Abstract
As the demand of heart allografts for transplantation continues to rise, ex-vivo organ perfusion strategies are playing an increasingly important role in preservation of organs from donation after circulatory death (DCD) and extended-criteria donors. One such method utilizes the Organ Care System™ (TransMedics, Andover, MA). Traditionally, this technique of preservation requires two periods of warm ischemia and subsequent cardioplegic arrest. In a novel surgical technique pioneered at our institution, heart allograft implantation no longer requires a second cardioplegic arrest. This article discusses the surgical approach for this procedure, advantages and disadvantages to this approach, and analogues to current clinical practice to theorize what impact this may have on cardiac transplantation volumes in the future.
Published Version
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