Heart Transplant Patient Selection and Preparation
Non-ischemic Cardiomyopathy 54 % Ischemic Cardiomyopathy 37 % Congenital Anomalies 2.9 % Valvular Cardiomyopathy 2.8 % Re-transplantation 2.5 % Other causes 0.9 % Data from Lund et al. [4] Table…
Postoperative Care of Heart Transplant Patients
Cause End diastolic area End systolic area Contractility Other findings Hypovolaemia ↓↓ ↓ Normal Vasoplegia Normal ↓↓ Normal LV dysfunction Normal or ↑ ↑ ↓↓ If severe, spontaneous echo contrast…
Preoperative Evaluation and Preparation for Lung Transplantation
Chronic obstructive pulmonary disease BODE index of at least 7 or at least 1 of the following: • FEV1 < 20 % predicted and either DLCO < 20 % predicted or…
Surgical Techniques of Heart Transplantation and Heart–Lung Transplantation
Fig. 12.1 Rationale and sequence of chapter. The headings, subheadings, and sections are displayed in columns from left to right I. Heart Transplantation A. Isolated heart donor harvest for heart…
Perfusion Management for Thoracic Transplantation Surgery
Fig. 17.1 Schematic representation of a cardiopulmonary bypass and ECMO circuit At the start of surgery, it may be unclear which, if any, mechanical support (CPB versus ECMO) will be…
Perioperative Management of Pulmonary Hypertension
PH is defined as a persistent increase in MPAP ≥ 25 mmHg, measured by right heart catheterization (RHC) at rest, coupled with PCWP ≤ 15 mmHg and PVR >240 dyn…
Technical Innovation and Visceral Transplantation
Fig. 39.1 The prototypes and the subtypes of visceral transplantation While intestine being the central core of visceral allograft, the term “multivisceral” is a distinctive nomenclature for stomach-contained visceral allograft….
Extracorporeal Life Support Following Thoracic Organ Transplantation
Grade PaO2/FiO2 (mmHg) Radiographic infiltrates consistent with pulmonary edema 0 >300 Absent 1 >300 Present 2 200–300 Present 3 <200 Present Lung Transplantation The primary mode of ECLS following lung…
Portopulmonary Hypertension and Hepatopulmonary Syndrome
Fig. 33.1 Normal endothelium with endothelium-derived vasoactive substances. Sheer stress leads to a release of nitric oxide and other vasoactive molecules. [NO nitric oxide, ACE angiotensin-converting enzyme, Ach acetylcholine, AI…
Reconstructive Transplantation: Evolution, Experience, Ethics, and Emerging Concepts
Fig. 44.1 Ganesha, the elephant-headed Hindu god of new beginnings (eighteenth century, Temple Relic) Credit—British Museum, Public Domain Fig. 44.2 Narasimha, the lion-headed fourth avatar of Vishnu killing the demon…
