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Surgical Innovation: Heart Transplantation After Cardiac Death by Taufiek Konrad Rajab; Sarah Chen; Satish N. Nadig; Carl Atkinson is a Medicine article available to read on EtoBox.

What is Surgical Innovation: Heart Transplantation After Cardiac Death about?

## What is the Innovation? The first clinical heart transplant was performed by Christiaan Barnard in South Africa in 1967. The donor was declared dead on the basis of cardiac arrest while the recipient awaited transplantation in an adjacent operating room. However, concerns about uncontrollable warm ischemic injury to the donor heart during cardiac arrest caused clinicians to abandon donation after cardiac death (DCD) heart transplantation once the legal and ethical frameworks for donation after brian death (DBD) became established. More recently, DCD heart transplantation was reexplored in response to the donor heart shortage. A breakthrough was achieved in Australia in 2014 when Kumud Dhital used a portable normothermic perfusion system to reanimate the DCD donor heart ex-vivo to perform the world's first distantly procured DCD heart transplant. 2 Ex-vivo reanimation of the arrested donor heart allows for an evaluation of the warm ischemic injury sustained during cardiac death (Figure ). However, critics in America argued that DCD invalidates the donor declaration of cardiac death, which is defined as irreversible cardiac arrest. In this scenario, DCD heart transplantation woul

Who reads Surgical Innovation: Heart Transplantation After Cardiac Death?

Author

Taufiek Konrad Rajab; Sarah Chen; Satish N. Nadig; Carl Atkinson

Publisher

SAGE Publications

Published

2020

Language

EN

Field

Medicine (Health Sciences)