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- Title
Unique aspects of heart and lung transplantation exhibited in the 'domino-donor' operation.
- Authors
Baumgartner, W A; Traill, T A; Cameron, D E; Fonger, J D; Birenbaum, I B; Reitz, B A
- Abstract
During the past 2 decades various refinements in heart and lung transplantation procedures have taken place. Improved preservation methods, new immunosuppressive medications, and advances in technical capabilities have allowed innovative procedures to be performed. In May 1987 the first "domino-donor" operation was performed in the United States. A 28-year-old man with cystic fibrosis and end-stage lung disease received the heart and lungs of an anonymous donor after he donated his heart to a 38-year-old man with end-stage ischemic cardiomyopathy. The technical and logistical aspects of this transplantation procedure are described herein. Other unusual features of this case that are discussed include heart-lung transplantation for a patient with cystic fibrosis, the use of cardiopulmonary bypass to allow lung procurement and transplantation across long distances, and the current role of heterotopic cardiac transplantation.
- Subjects
CARDIOPULMONARY bypass; CARDIOPULMONARY system; ORGAN donation; HEART transplantation; LUNG transplantation; RESEARCH methodology; META-analysis; ORGAN donors; PRESERVATION of organs, tissues, etc.; TRANSPLANTATION of organs, tissues, etc.; RELATIVE medical risk
- Publication
JAMA: Journal of the American Medical Association, 1989, Vol 261, Issue 21, p3121
- ISSN
0098-7484
- Publication type
journal article
- DOI
10.1001/jama.261.21.3121