Screening and assessment of the donor heart
نویسندگان
چکیده
The real goal of donor heart assessment is not to estimate the functional status of the heart just before the organ harvesting but rather to predict the performance of the transplanted graft after weaning from the extracorporeal circulation and in the postoperative period. For that, hemodynamic and myocardial assessment during organ harvesting is important but is only one of several aspects. One also has to take into account the cumulative injury by “preexisting damage” of the donor heart and “brain-death-related stress” (6). This cumulative damage/stress may still be functionally inert but become evident after subsequent damage by ischemic time and reperfusion (7, 8). Moreover, “donor-independent” parameters, e.g. length of ischemic time, size matchApplied Cardiopulmonary Pathophysiology 15: 191-197, 2011
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