Nikki L Stamp1, Amit Shah2, Viji Vincent3, Brian Wright3, Clare Wood2, Warren Pavey3, Chris Cokis3, Sharon Chih2, Lawrence Dembo2, Rob Larbalestier4. 1. Department of Cardiothoracic Surgery, Royal Perth Hopsital, Perth, WA. Electronic address: nikki_stamp@iinet.net.au. 2. Advanced Heart Failure and Cardiac Transplantation Service, Department of Cardiology, Royal Perth Hospital, Perth, WA. 3. Department of Anaesthesia, Clinical Perfusion, Royal Perth Hospital, Perth, WA. 4. Department of Cardiothoracic Surgery, Royal Perth Hopsital, Perth, WA.
Abstract
OBJECTIVE: We report the successful transplantation of a heart following an out-of-body time of 611 minutes into a recipient with dilated cardiomyopathy and left ventricular assist device implant. PATIENTS: Our patient was urgently waiting for a cardiac transplant whilst receiving LVAD support. Recurrent VF and repeated AICD shocks necessitated this action. RESULTS: Although requiring ECMO and inotropic support in the first 17 hours post-transplant, the patient was discharged from hospital on day 15 post-transplant with normal cardiac function. CONCLUSION: We report some of the salient points of the process and discuss the utility of this technology to an Australian transplant unit. Crown
OBJECTIVE: We report the successful transplantation of a heart following an out-of-body time of 611 minutes into a recipient with dilated cardiomyopathy and left ventricular assist device implant. PATIENTS: Our patient was urgently waiting for a cardiac transplant whilst receiving LVAD support. Recurrent VF and repeated AICD shocks necessitated this action. RESULTS: Although requiring ECMO and inotropic support in the first 17 hours post-transplant, the patient was discharged from hospital on day 15 post-transplant with normal cardiac function. CONCLUSION: We report some of the salient points of the process and discuss the utility of this technology to an Australian transplant unit. Crown
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