RESUMO
The number of potential pediatric heart transplant recipients continues to exceed the number of donors, and consequently the waitlist mortality remains significant. Despite this, around 40% of all donated organs are not used and are discarded. This document (62 authors from 53 institutions in 17 countries) evaluates factors responsible for discarding donor hearts and makes recommendations regarding donor heart acceptance. The aim of this statement is to ensure that no usable donor heart is discarded, waitlist mortality is reduced, and post-transplant survival is not adversely impacted.
Assuntos
Consenso , Seleção do Doador/métodos , Transplante de Coração/métodos , Medição de Risco/métodos , Doadores de Tecidos/provisão & distribuição , Obtenção de Tecidos e Órgãos/normas , Criança , Sobrevivência de Enxerto , Humanos , Listas de EsperaRESUMO
A 52-year old man presented with exertional angina and shortness of breath and was diagnosed with double-vessel coronary artery disease with a large coronary artery fistula between the left circumflex artery and superior vena cava. He was managed with off-pump coronary artery bypass grafting with closure of the fistula.