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Donor Operation and Organ Preservation

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Contemporary Heart Transplantation

Part of the book series: Organ and Tissue Transplantation ((OTT))

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Abstract

Orthotopic heart transplantation is an effective and definitive treatment option for advanced heart failure patients. Since the first human heart transplant, major advances have occurred in the field of heart transplantation, including new surgical strategies. There continues to be an increasing donor shortage for patients on the heart transplant waiting list. Providers need to fully understand the process of retrieving a heart from a donor and appreciate the importance of preserving the donor heart during transport. In the current chapter, the authors will review in detail a standard operative procedure during organ procurement. Important steps the organ procurement team needs to perform will be highlighted to ensure the donor heart is satisfactory for excision and transport to the recipient. Equally important, a standard method to preserve the donor heart will be described, and alternative strategies that are being studied in clinical trials will be discussed. It is imperative to maximally preserve the structure and function of the donor heart as this translates into excellent clinical outcomes for the recipient. Low morbidity and mortality rates of heart transplant recipients are dependent on the swift and precise actions of the donor procurement and recipient teams.

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Authors and Affiliations

  1. Department of Cardiology (Advanced Heart Failure), Sutter Medical Group, Sacramento, CA, USA

    Gurpreet Sodhi

  2. Department of Cardiac and Thoracic Surgery, Inova Fairfax Hospital, Fairfax, VA, USA

    Ramesh Singh

Authors
  1. Gurpreet Sodhi
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  2. Ramesh Singh
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Corresponding author

Correspondence to Gurpreet Sodhi .

Editor information

Editors and Affiliations

  1. Cardiac, Vascular and Thoracic Surgery, Inova Fairfax Hospital, Falls Church, VA, VA, USA

    Linda Bogar

  2. Heart Failure/Transplant Cardiologist, The Cleveland Clinic Foundation, Cleveland, OH, OH, USA

    Maria Mountis

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Sodhi, G., Singh, R. (2019). Donor Operation and Organ Preservation. In: Bogar, L., Mountis, M. (eds) Contemporary Heart Transplantation. Organ and Tissue Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-319-33280-2_11-1

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  • DOI: https://doi.org/10.1007/978-3-319-33280-2_11-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33280-2

  • Online ISBN: 978-3-319-33280-2

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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