Evaluation criteria and maintenance experience of cardiac death organ donor heart from Chinese first category

Objective To summarize the evaluation standard of cardiac death organ donation from Chinese first category donor heart application and experience of donor heart function maintenance. Method From Jan. 2013 to Jan. 2015, donor hearts for heart transplantation were obtained in 18 cases of Chinese first category cardiac death organ donors from 109 cases of organ donation donors through rigorous assessment and effective donor heart function maintenance. The diagnosis of brain death was based on the diagnosis of brain death criteria (adult) by the neurological department of internal medicine, department of neurosurgery, and intensive care unit with brain death qualification. Organ donation work followed the basic principles of voluntary, free, fair, equitable and technical access. Result Eighteen cases of heart transplantations were all operated with double lumen venous anastomosis. The cold ischemia time was (125.5±18.7) min (61-60 min), and cardiopulmonary bypass time was (130.4±12.5) min (99-193 min). In 18 heart transplantations, 16 cases survived, and 2 cases died of acute right heart failure. During the follow-u period, the quality of life in the survival recipients was satisfactory. Conclusion Using cardiac death organ donation from Chinese first category donor heart transplantation has achieved good results. The accurate assessment of donor hearts and effective donor heart function maintenance are the key factors to guarantee the success of heart transplantation. Key words: Organ donation; Evaluation criteria; Donor maintenance; Heart transplantation