Cardiac Transplantation From a Carbon Monoxide Intoxicated Donor

Abstract Heart transplantation is a demonstrated successful and life-saving treatment for an increasing number of patients. The growth of heart transplantation surgery is limited by the relative lack of suitable donors, and the increasing demand has lead to the expansion of acceptance criteria. Pati...

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Bibliographic Details
Published inTransplantation proceedings Vol. 40; no. 5; pp. 1563 - 1565
Main Authors Martìn-Suàrez, S, Mikus, E, Pilato, E, Bacchini, M, Savini, C, Grigioni, F, Coccolo, F, Marinelli, G, Mikus, P.M, Arpesella, G
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.06.2008
Elsevier Science
Subjects
Adult
Biological and medical sciences
Carbon Monoxide Poisoning - surgery
Female
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Heart Transplantation
Humans
Male
Medical sciences
Patient Selection
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tissue Donors
Tissue, organ and graft immunology
Treatment Outcome
Heart
Suboptimal donor
Human
Medicine
Treatment
Surgery
Graft
Transplantation
Circulatory system
Carbon monoxide
Homotransplantation
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Summary:Abstract Heart transplantation is a demonstrated successful and life-saving treatment for an increasing number of patients. The growth of heart transplantation surgery is limited by the relative lack of suitable donors, and the increasing demand has lead to the expansion of acceptance criteria. Patients succumbing to carbon monoxide (CO) poisoning are usually considered not suitable organ donors and they are routinely rejected in many centers. Although organs from CO poisoning donors have been occasionally used, cardiac transplantation in this scenario remains very uncommon. We report the successful heart transplantation from a CO intoxicated donor, who was previously refused by two other transplantation teams. Standard donor evaluation criteria, transplantation techniques and management were used. Limited cases are described in literature. The present case may increase awareness among emergency department physicians, as well as transplantations teams, that patients dying of CO exposure may be acceptable cardiac donors.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2008.03.155