FIELD: medicine; transplantology.
SUBSTANCE: after preparing the left and right atria of the recipient for suturing the heart of the donor, the left atria of the donor and recipient are anastomosed. Then, the edge of the donor's right atrium is sutured to the interatrial septum of the recipient's heart. After that, the donor and recipient aortas are anastomosed. Then, the clamp is simultaneously removed from the recipient's aorta and the suction of the heart-lung machine is placed in the region of the venous sinus of the right atrium of the donor's heart. After that, under conditions of cardiopulmonary bypass on a beating heart, an anastomosis of the pulmonary arteries of the donor and recipient is formed and the anastomosis of the right atria of the donor and recipient is completed.
EFFECT: method provides prevention of graft dysfunction by reducing the graft ischemia time by at least half of the total graft suturing time by reducing the time the clamp remains on the recipient's aorta.
1 cl, 1 ex
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Authors
Dates
2023-05-11—Published
2022-07-29—Filed