A Case Report of Triple Organ Transplantation From a Donor After Circulatory Death Using Thoraco-Abdominal Normothermic Regional Perfusion

被引：1

作者：

Kagawa, Hiroshi ^{[1
]}

Goodwin, Matthew ^{[1
]}

Stehlik, Josef ^{[2
]}

Campsen, Jeffrey ^{[3
]}

Baker, Talia ^{[3
]}

Selzman, Craig H. ^{[1
,4
]}

机构：

[1] Univ Utah, Sch Med, Div Pediat Cardiothorac Surg, Salt Lake City, UT USA

[2] Univ Utah, Sch Med, Div Cardiovasc Med, Salt Lake City, UT USA

[3] Univ Utah, Sch Med, Div Transplantat & Adv Hepatobiliary Surg, Salt Lake City, UT USA

[4] Univ Utah, Dept Surg, Div Cardiothorac Surg, 30 North 1900 East,SOM 3C-127, Salt Lake City, UT 84132 USA

来源：

TRANSPLANTATION PROCEEDINGS | 2023年 / 55卷 / 08期

关键词：

HEART-TRANSPLANTATION; DONATION; EXPERIENCE;

D O I：

10.1016/j.transproceed.2023.07.015

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Organ transplantation with donation after circulatory death can potentially increase the donor pool. Here, we report the rare case of triple-organ (heart/liver/kidney) transplantation from a donor after circulatory death using thoraco-abdominal normothermic regional perfusion. The recipient was a 61-year-old man with end-stage heart failure, liver failure, and kidney failure secondary to arrhythmogenic right ventricular dysplasia. He received a heart/liver/kidney transplantation from a donor after circulatory death. The course was complicated with primary graft dysfunction of the heart that resolved on postoperative day 3. The patient was discharged on postoperative day 39. He has no evidence for rejection on heart biopsy, and all 3 organs exhibit stable function. The use of donation after cardiac death donors greatly increases the donor pool and should be considered for patients requiring multiorgan transplantation. The use of thoracoabdominal normothermic reperfusion is not only a feasible method for multiorgan procurement but also provides enhanced protection for all transplanted organs.

引用

页码：1883 / 1887

页数：5

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