A Duke Health team has been a pioneer in two repair surgeries of the world’s heart, the replacement of the living mitral valve and resuscitation innovations in children to save lives, but also to improve the administration of organ organs.
They were able to perform the first replacement of the world’s mitral valve after a teenager received a complete heart transplant and donated the healthy valves of his original heart.
The valves were used to save the lives of two other girls, one of which received the new procedure. The three girls who were part of the case are of different parts of North Carolina.
The donation after circulatory death (DCD) requires that a heart be evaluated before donation, but current perfusion technologies cannot be used for children’s donor hearts.
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To overcome this, a Duke team developed a novel technique that temporarily resusciates the donor’s heart out of the body at a surgical table using extracorporeal membrane oxygenation, which allows surgeons to evaluate the viability of the organ before transplantation.
Duke’s scientists call the new heart resuscitation technique at the table. The first case of its kind saved the life of a patient of then 3 months, who received a donor heart resuscitated earlier this year.
The recipients of the partial heart receive immunosuppression in a dose that are considered that they do not alter life, and the receptors have continued to grow and thrive since the first partial heart procedure three years ago.
Viva mitral valve replacement is another way that Duke continues to improve organ administration and pediatric cardiac surgery
The surgeon of the pediatric heart Douglas Overbey, MD, MPH, was in the team that carried out the operations.
According to him, “three people benefited from an organ that was offered. Several months have passed and the three are fine. The adolescent recipient has ran competitive again.
“We offer a lot of innovation. We have access to organ deals that other centers of the nation would generally access, resulting in a lower waiting time in Duke.”
Both techniques have the potential to save as many young lives as the hearts of viable pediatric donors that are currently not used.
Duke has made more than 25 partial heart transplants to date, including Domino and Living Ross procedures.
These new solutions to pediatric heart problems, whether with the aim of increasing the group of donors or living implants valves that grow with children, are born from the need and desire to improve the lives of our most vulnerable patients.
The current standard of attention for the replacement of the pediatric heart valve uses preserved non -living tissues or mechanical valves, which do not grow together with the child. As a result, the recipients require multiple future surgeries for replacement of valves and anticoagulants for mechanical valves, which carry risks.
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