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Volume 3 Number 3, September - December, 1988

ORIGINAL ARTICLE

DOI: http://dx.doi.org/10.1590/S0102-76381988000300007

Distant donor procurement for heart-lung and lung transplantation

Transplantes cardiopulmonar e pulmonar com doador em localidade distante

Luis Sérgio FragomeniI; Robert S BonserII; Michael P KayeII; Stuart W JamiesonII

1. Do Minnesota Heart and Lung Institute (Professor Convidado) 2. Do Minnesota Heart and Lung Institute

Trabalho realizado no Minnesota Heart and Lung Institute. Minneapolis, Minnesota, USA.

Correspondence To:
Luís Sérgio Fragomeni
Rua Uruguai, 1555, Aptº 41
96010 Passo Fundo, RS, Brasil

RESUMO
Em situações específicas, os transplantes clínicos cardiopulmonar e pulmonar são, hoje, formas estabelecidas de tratamento para estágio final de doença cardiopulmonar e pulmonar. A obtenção de doadores adequados permanece o maior problema e a remoção de órgãos em localidades distantes é, hoje, uma necessidade. Embora muitos métodos de preservação pulmonar possam ser empregados, para períodos isquémicos de até 5 horas, a hipotermia e o uso de solução cardioplégica com infusão da solução de Collins modificada no tronco pulmonar tem sido método simples e eficiente para preservação do bloco coração-pulmão. Descrevemos, aqui, o método corrente que empregamos, com o qual os transplantes cardiopulmonar e pulmonar combinados foram sucedidos de excelente função cárdio-respiratória.

Palavras-Chave transplante cardiopulmonar. transplante cardiopulmonar, doadores. transplante pulmonar. transplante pulmonar, doadores.


ABSTRACT
In special situations, clinical heart-lung and lung transplantation are today established methods of therapy for end stage cardiopulmonary and pulmonary disease. Adequate donor availability remains a major problem and distant organ procurement is today a necessity. Although many methods of lung preservation can be used, for periods of up to 5 hours, hypothermic storage with cardioplegic arrest and pulmonary artery flush with modified Collins solution has proven to be a simple and reliable method of heart-lung preservation. We here describe our current method of heart-lung block protection, in which heart-lung and double lung transplantation were performed followed by excelent cardiac and pulmonary function.

Keywords cardiopulmonary transplantation, donors. cardiopulmonary transplantation. pulmonary transplantation, donors. pulmonary transplantation.

Texto completo disponível apenas em PDF.

REFERENCES

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Artigo recebido em 10 de outubro de 1988.

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