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By Edwards N.M., Chen J.M., Mazzeo P.A.

Univ. of Wisconsin, Madison. Summarizes the daily administration of transplant donors and recipients, masking a number surgical thoughts, pathology, and immunosuppression. additionally discusses posttransplant administration, pediatric middle transplantation, surgical possible choices, and mechanical circulatory counsel. For physicians.

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1A(c). Mechanical ventilation 1A(d). 50 mcg/kg/min), or multiple intravenous inotropes, in addition to continuous hemodynamic monitoring of left ventricle (LV) filling pressures 1A(e). A patient who does not meet the criteria specified above may be listed as Status 1A if the patient is admitted to the listing transplant center and has a life expectancy without a transplant of less than 7 d All patients listed as a Status 1A must have a “justification form” submitted to UNOS within 24 h. Any delay in justification form receipt will result in the patient being downgraded to the next lower category.

DONOR SELECTION: STANDARD CARDIAC PARAMETERS All donors should have a 12-lead electrocardiogram (EKG). Nonspecific ST changes associated with brain death are common; however, major abnormalities generally require inquiry, especially if present in concert with other cardiac risk factors. , creatinine phosphokinase-MB fractions, troponin T) in the donor referral setting has been investigated, there has been no clear consensus regarding their use. At present, we and others use serum enzyme markers as indicators that more detailed evaluation is required, should the magnitude of their elevation not correlate with other clinical findings.

Standard criteria for an acceptable donor heart are restricting heart transplantation. Ann Thorac Surg 1996; 62:1268–1275. 34. Zein NN, McGreger CG, Wendt NK, et al. Prevalence and outcome of hepatitis C infection among transplant recipients. J Heart Lung Transplant 1995;14:865–869. 35. Ong JP, Barnes DS, Younossi ZM. Outcome of de novo hepatitis C infection in heart transplant recipients. Hepatology 1999;12:93. 36 Chapter 2 / Management of High-Risk Donor 36. Gundry SR, Fukushima N, Eke CC, et al.

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Cardiac Transplantation by Edwards N.M., Chen J.M., Mazzeo P.A.


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