c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Heart Transplant, Donor Heart Procurement: 16

A D V E R T I S E M E N T

   
 

The pericardium was opened to allow runoff of ice water from the slurry into the chest.       

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

Heart Transplant, Donor Heart Procurement: 17

A D V E R T I S E M E N T

   
 

The left inferior pulmonary vein and IVC were transected to vent the heart (to prevent the heart from distending with cardioplegia-ie the cardioplegia goes into the aortic root, through the coronary arteries, into the coronary sinus back to the right atrium then either retrograde out the IVC or back to the lungs and out the pulmonary veins). If the lungs are being harvested as well (in this case they were not) then instead of venting by transecting the left inferior pulmonary vein, the left atrial appendage is transected to allow egress of cardioplegia. The IVC is transected at the level of the diaphragm although this is at times a point of contention the left inferior pulmonary vein, the left atrial appendage is transected to allow egress of cardioplegia. The IVC is transected at the level of the diaphragm although this is at times a point of contention    

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

Heart Transplant, Donor Heart Procurement: 18

A D V E R T I S E M E N T

   
 

After the abdominal organs were dissected free, the patient was given 30,000 units of heparin and the superior vena cava was occluded. The aorta was cross-clamped distal to the cardioplegia cannula, and the cardioplegia (University of Wisconsin solution) was delivered.      

Notes:

Link to this frame from your Personal Thumbnails page? Yes No

 

Click the "Update" button to save your Notes and Personal Thumbnails.

 

Thumbnails

This page was last modified on 8/16/2001.