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Revista Brasileira de Cirurgia Cardiovascular

Print version ISSN 0102-7638

Rev Bras Cir Cardiovasc vol.3 no.3 São José do Rio Preto Dec. 1988

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

ARTIGOS ORIGINAIS

 

Transplantes cardiopulmonar e pulmonar com doador em localidade distante

 

Distant donor procurement for heart-lung and lung transplantation

 

 

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

IDo Minnesota Heart and Lung Institute (Professor Convidado)
IIDo Minnesota Heart and Lung Institute

Endereço para separatas

 

 


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.

Descritores: 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.

Descriptors: cardiopulmonary transplantation, donors; cardiopulmonary transplantation; pulmonary transplantation, donors; pulmonary transplantation.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

REFERÊNCIAS BIBLIOGRÁFICAS

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Endereço para separatas:
Luís Sérgio Fragomeni
Rua Uruguai, 1555, Aptº 41
96010 Passo Fundo, RS, Brasil

Recebido para publicação em 10 de outubro de 1988.

 

 

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