Perioperative period in cardiac transplantation from donors with brain death due to methanol poisoning

V N Poptsov,V Yu Voronkov,V V Pchelnikov,S G Ukhrenkov,S Yu Ustin,E A Spirina,S A Masyutin,E A Aliev

doi:10.15825/1995-1191-2017-1-41-46

Abstract

The successful use of donor hearts from people died of methanol poisoning helps reducing the deficit of donor organs for patients requiring urgent cardiac transplantation [3]. We present our experience of successful cardiac transplantations from 2 donors who died due to methanol poisoning. Given the possibility of performing a cardiac transplant from this group of donors a protocol has been developed at the V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs of the Ministry of Healthcare of the Russian Federation which includes clinical, laboratory and instrumental criteria for the selection of heart donor and recipient. The possibility of delayed onset myocardial contractile dysfunction due to methanol poisoning means that a longer conditioningperiod is vital as well as compulsory clinical, laboratory and expert chocardiographic examinations of the potential donor heart.

Highlights

The successful use of donor hearts from people died of methanol poisoning helps reducing the deficit of donor organs for patients requiring urgent cardiac transplantation [3]
We present our experience of successful cardiac transplantations from 2 donors who died due to methanol poisoning
Fig. Protocol preparation and performance of heart trans plantation from donors who died on the backdrop of metha nol poisoning том XIX No 1–2017 нолом делает целесообразным удлинение периода кондиционирования и выполнения обязательного повторного клинического, лабораторного и эксперт ного эхокардиографического обследования потен циального сердечного донора

Summary

Introduction

ВВЕДЕНИЕ Традиционно считается, что выполнение трансплантации сердца (ТС) от доноров, погибших на фоне интоксикации алкоголем или его производными, а также вследствие случайного или пред намеренного (суицид) отравления угарным газом, психотропными или другими фармакологическими препаратами или химическими веществами, сопря Во всех наблюдениях выполнили дистанцион ный забор сердечного трансплантата от доноров со смертью головного мозга, наступившей на фоне интоксикации метиловым спиртом.

Results

Conclusion