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Successful Heart Transplantation after Dobutamine, Glucose-insulin-potassium, and Hormone Therapy in a Hemodynamically Unstable Cadaveric Heart Donor: A Case Report.

Authors
 So Yeon Kim  ;  Shin Ok Koh  ;  Young Chul Yoo  ;  Ha Kyoung Kim  ;  Tae-Jin Yun  ;  Eun-Ji Chang  ;  Sungwon Na 
Citation
 Korean Journal of Critical Care Medicine, Vol.25(2) : 89-92, 2010 
Journal Title
 Korean Journal of Critical Care Medicine 
ISSN
 1229-4802 
Issue Date
2010
Keywords
brain death ; cardiomyopathy ; echocardiography
Abstract
The major limitation to heart transplantation is the shortage of donor organs. In order to increase the cardiac donor pool, it is important to maintain stable hemodynamics and closely monitor cardiac function in cadaveric organ donors or potent donors. Recently, management of a potential cardiac donor pool has focused on aggressive hemodynamic management protocols and dobutamine stress echocardiography. In our case, management with low dose dobutamine, glucose-insulin-potassium (GIK), and hormone therapy reversed heart failure following brain death and the heart was successfully transplanted. We suggest that aggressive hemodynamic management with low-dose dobutamine, GIK, and hormone therapy can result in the recruitment of more cadaveric hearts in marginal conditions
Files in This Item:
T201005896.pdf Download
DOI
10.4266/kjccm.2010.25.2.89
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Koh, Shin Ok(고신옥)
Kim, So Yeon(김소연) ORCID logo https://orcid.org/0000-0001-5352-157X
Na, Sungwon(나성원) ORCID logo https://orcid.org/0000-0002-1170-8042
Yoo, Young Chul(유영철) ORCID logo https://orcid.org/0000-0002-6334-7541
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103249
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