Since an operation which I had been supposed to assist was postponed due to heart transplantation, I was looking at it.
The ischemic time of the donor heart began from several minutes before 9, and the recipient operation was started half past 9. The sternum was re-opened carefully to avoid any bleeding, and severe enlargement heart was exposed by Prof A, except for the lateral wall due to strong adhesion of the previous Dor procedure.
After getting information from the donor team of arriving here within 20 min, he start started excising the recipient heart. At the same time of finishing all maneuvers in the recipient, donor team doctors including Dr. X were coming with the heart. A talented young surgeon, Dr. X performed transplantation within 40 min perfectly. The ischemic time was 230 min.
Of course the shorter cardiac ischemic time is the better outcome. In order to obtain the shorter ischemic time, teamwork is quite important. The other concern, it should be shorter operation and cardiopulmonary bypass time as possible in the recipient to reduce surgical trauma. In regarding this operation, as the donor was in foreign country besides bad weather, it needs longer time for transportation. In spite of these issues, transplantation was achieved less than 4 hours ischemic time as usual, without vain waiting time in the recipient procedure.
I really admire surgical teamwork including 2 coordinators, 3 anestheologies, 2 professor surgeons, and large number of co-medicals including transport supporters. Especially Dr. X did absolutely good job from taking the heart to transplanting with his highly skill and tough spirit under strictly limited time.
I hope this patient will make it without any complications.
The ischemic time of the donor heart began from several minutes before 9, and the recipient operation was started half past 9. The sternum was re-opened carefully to avoid any bleeding, and severe enlargement heart was exposed by Prof A, except for the lateral wall due to strong adhesion of the previous Dor procedure.
After getting information from the donor team of arriving here within 20 min, he start started excising the recipient heart. At the same time of finishing all maneuvers in the recipient, donor team doctors including Dr. X were coming with the heart. A talented young surgeon, Dr. X performed transplantation within 40 min perfectly. The ischemic time was 230 min.
Of course the shorter cardiac ischemic time is the better outcome. In order to obtain the shorter ischemic time, teamwork is quite important. The other concern, it should be shorter operation and cardiopulmonary bypass time as possible in the recipient to reduce surgical trauma. In regarding this operation, as the donor was in foreign country besides bad weather, it needs longer time for transportation. In spite of these issues, transplantation was achieved less than 4 hours ischemic time as usual, without vain waiting time in the recipient procedure.
I really admire surgical teamwork including 2 coordinators, 3 anestheologies, 2 professor surgeons, and large number of co-medicals including transport supporters. Especially Dr. X did absolutely good job from taking the heart to transplanting with his highly skill and tough spirit under strictly limited time.
I hope this patient will make it without any complications.
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