Ten hour donor heart ischemic time with 10ºC static storage
William Tucker, MD,
Yatrik Patel, MD,
Mark Petrovic, MS,
Chris Schwartz, RN,
Brandon Petree, DO,
Steve Devries, DMSc, PA-C,
Brian Lima, MD,
John Trahanas, MD,
Matthew Bacchetta, MD, MBA,
Ashish Shah, MD,
Swaroop Bommareddi, MD
Affiliations
William Tucker, MD
Vanderbilt University Medical Center, Department of Cardiac Surgery, Nashville, Tennessee; Corresponding author: William Tucker, MD, Vanderbilt University Medical Center, Department of Cardiac Surgery, Nashville, Tennessee.
Yatrik Patel, MD
Vanderbilt University Medical Center, Department of Cardiac Surgery, Nashville, Tennessee
Mark Petrovic, MS
Vanderbilt University Medical Center, Department of Cardiac Surgery, Nashville, Tennessee
Chris Schwartz, RN
Vanderbilt University Medical Center, Office of Transplant Procurement and Preservation, Nashville, Tennessee
Brandon Petree, DO
Vanderbilt University Medical Center, Department of Cardiac Surgery, Nashville, Tennessee
Steve Devries, DMSc, PA-C
Vanderbilt University Medical Center, Department of Cardiac Surgery, Nashville, Tennessee
Brian Lima, MD
Vanderbilt University Medical Center, Department of Cardiac Surgery, Nashville, Tennessee
John Trahanas, MD
Vanderbilt University Medical Center, Department of Cardiac Surgery, Nashville, Tennessee
Matthew Bacchetta, MD, MBA
Vanderbilt University Medical Center, Department of Cardiac Surgery, Nashville, Tennessee
Ashish Shah, MD
Vanderbilt University Medical Center, Department of Cardiac Surgery, Nashville, Tennessee
Swaroop Bommareddi, MD
Vanderbilt University Medical Center, Department of Cardiac Surgery, Nashville, Tennessee
Utilization of 10ºC static storage safely extended both ischemic time and travel radius in heart transplantation. A 57-year-old man with ischemic cardiomyopathy, a left ventricular assist device (LVAD), and end-stage renal disease was listed for combined heart-kidney transplant. The donor hospital in Anchorage, AK, was located approximately 2,700 nautical miles and 8 hours from the recipient center. The organ was transported in 10ºC static storage with over 10 hours of ischemic time and had superb early allograft function. Excellent outcomes with extended ischemic times can be achieved without machine perfusion, provided good recovery, storage, and implant techniques are followed.
