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Patient’s Information • History of present illness: • 24 y/o male, • Hx of CHF (EF 15%) from viral DCM on 11/07 (home on Milrinone) • S/p PPM/AICD 12/07 • LVAD (HEARTMATE I) placement on 2/1/2009 • Admitted on 3/6/09 with device malfunction (device was checked) • Status 1A • Participant in the Transmedics study & the heart was transported on the transmedics device.
TransMedics edcs OCS (Organ Care System) 1 st case @ Columbia Un. Hospital Organ care system <strong>Perfusion</strong> module Priming solution
Page 1 and 2: Case Report 10/08/2009 Case Reports
Page 3: Heart Failure • 5 million people
Page 7 and 8: OCS • Portable platform insures t
Page 9 and 10: TransMedics/ Perfusion Module LA/Ao
Page 11 and 12: Priming Solution 500 mL Mannitol 12
Page 13 and 14: TransMedics OCS/schematic diagram L
Page 15 and 16: Equipments • Synthesis Hard Shell
Page 17 and 18: Equipments (continue) • Capdiople
Page 19 and 20: Patient’s Information PMH ‐ NID
Page 21 and 22: Patient’s Information PPM/AICD LV
Page 23 and 24: • Allergies NKDA …Patient’s I
Page 25 and 26: Prime/Meds 1L RL, 1 L Hextend 12.
Page 27 and 28: Pre CPB… ‣ 300pm 3:00 pm. Pt ca
Page 29 and 30: Pre CPB… ‣ Pre‐op TEE: EF 25
Page 31 and 32: Pre CPB……
Page 33 and 34: On CPB… ‣ Harvest team in OR. H
Page 35 and 36: Video 2 Transmedics OCS
Page 37 and 38: Explanted LVAD (Thoratec heartmate
Page 39 and 40: ON CPB… ATH cardioplegia/adenosi
Page 41 and 42: PA Anastomosis Ao root vent Asc. Ao
Page 43 and 44: Weaning from CPB… ‣ Difficulty
Page 45 and 46: Drugs ON CPB… ‣ 80 mcg/cc of Ne
Page 47 and 48: Final Measurements/Comments Pump u
Page 49 and 50: POD # 1 Pt returned to OR & chest w
Page 51: •Quand on ne sait pas, on a peur
Page 54:
THANK YOU…
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