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Breaking barriers in cardiac donation after circulatory death.
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  • Mario Galván Ruiz,
  • María del Val Groba Marco,
  • Michelle Tout Castellano,
  • Francisco Portela,
  • José Luis Romero Luján,
  • Miguel Fernández de Sanmamed Girón,
  • Eduardo Caballero Dorta,
  • Antonio García Quintana
Mario Galván Ruiz
Hospital Universitario de Gran Canaria Dr Negrin

Corresponding Author:mariogalvanr@hotmail.com

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María del Val Groba Marco
Hospital Universitario de Gran Canaria Dr Negrin
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Michelle Tout Castellano
Hospital Universitario de Gran Canaria Dr Negrin
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Francisco Portela
Hospital Universitario de Gran Canaria Dr Negrin
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José Luis Romero Luján
Hospital Universitario de Gran Canaria Dr Negrin
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Miguel Fernández de Sanmamed Girón
Hospital Universitario de Gran Canaria Dr Negrin
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Eduardo Caballero Dorta
Hospital Universitario de Gran Canaria Dr Negrin
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Antonio García Quintana
Hospital Universitario de Gran Canaria Dr Negrin
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Abstract

Background: Heart transplant from controlled donation after circulatory death (cDCD) is an emerging strategy that is rapidly expanding and may help increase the heart donor pool. Materials and Methods: The use of thoracoabdominal normothermic regional perfusion (TANRP) with extracorporeal membrane oxygenation device has allowed to perform cardiac transplantation after cDCD. Several experiences have been carried out in recent years, however the maximum cold ischemia time is still unknown. We present a successful case of heart transplantation using a graft from cDCD from another hospital with 201 minutes of cold ischemia time, the longest published in Europe. Discussion and conclusion: Heart transplant from cDCD could be a good alternative to brain dead donation. This experience suggests than nonlocal cardiac donation in controlled asystole could tolerate long periods of cold ischemia time and break the main barriers in cardiac donation after circulatory death.
25 Jun 2022Submitted to Journal of Cardiac Surgery
25 Jun 2022Submission Checks Completed
25 Jun 2022Assigned to Editor
27 Jun 2022Reviewer(s) Assigned
14 Aug 2022Review(s) Completed, Editorial Evaluation Pending
22 Aug 2022Editorial Decision: Revise Minor
19 Sep 20221st Revision Received
19 Sep 2022Submission Checks Completed
19 Sep 2022Assigned to Editor
19 Sep 2022Reviewer(s) Assigned
19 Sep 2022Review(s) Completed, Editorial Evaluation Pending
28 Sep 2022Editorial Decision: Accept
Dec 2022Published in Journal of Cardiac Surgery volume 37 issue 12 on pages 5496-5498. 10.1111/jocs.17112