On the afternoon of July 30, information from Hue Central Hospital said that the medical team and doctors of the unit have just successfully performed a heart transplantation for men in Quang Nam from the organs of the elderly patient.Brain death in Hanoi.

Before that, patient P.T.T.(43 years old, from Quang Nam) is very severe, poorly responded to medical treatment, the heart function is very low LVEF 14%, the prognosis is very high.The patient lives every day, waiting for miracles from the heart donated.

On July 17, Hue Central Hospital received information donation from the National Organ Coordination Center with people who gave brain deaths at Viet Duc Friendship Hospital (Hanoi).

Prof. Dr. Pham Nhu Hiep - Director of Hue Central Hospital has activated the crew to receive organ coordination and immediately send 3 doctors to coordinate with Viet Duc Friendship Hospital, National Organ Coordination CenterTo receive organs.

According to organ coordination information, the donor is a 65 -year -old female patient.This is an older and lightweight organ donation, so the selection of people who receive heart disease is considered to be difficult, due to many high risks when grafting, only prioritizing the case of emergency grafts or impaired patients.Heart in the end, the patient agreed to accept the heart from the elderly donor.

In the list of heart transplantation on the system of the National Organ Coordination Center of Hue Central Hospital, there is P.T.T.is the most suitable.

After explaining to patients and families about the risks and heart donation from the elderly, the patient and the family agreed to accept the heart.However, T. patient had surgery to replace the aortic valve 9 years ago, so in the heart transplant process, it is necessary to remove the whole heart and large blood vessels, the risk of high bleeding.

The receipt of the heart from the elderly donor (over 55 years old) requires the time of cold anemia as low as possible (less than 4 hours).Therefore, it is necessary to coordinate rhythmically between the crews on duty to ensure the requirements of cold anemia time.

After 4 hours 52 minutes from the time of receiving heart and transporting to Hue Central Hospital, the heart from the donor in Hanoi has beaten healthy in the chest of P.T.T.

However, it is very difficult to rerinate the body, which requires mechanical circulatory assistance as the atrophic opposite ball (IABP) and oxidized through the body's outer membrane (ECMO).After 6 days of positive care and resuscitation, patients are gradually reduced in circuit heart support drugs, mechanical apnea, ECMO, IABP with biochemical hemodynamic parameters stabilizing good heart function EF 60%, tapse20.

According to Prof. Dr. Pham Nhu Hiep, with this heart transplant, the professional team has calculated the time to take the heart and transport to Hue as short as possible.In addition, the preparation time for patients to receive heart must also be the most reasonable because they must remove all heart surgery on patients with very severe heart failure, need the support of the body circulatory system to stabilize the blood.Dynamic and optimize other organs.

Although it is racing with time and technical implementation is difficult, but with the sense of responsibility, dedication wholeheartedly for patients, medical teams, doctors, Hue Central Hospital, Hue has successfully transplant heart transplantation forThe patient is critical.