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Notice from the North American Transplant Coordinators Organization
691 Misbach, Turley, and Ebert: Pulmonary Valve Replacement after TOF Repair
on the right side of the heart. I wonder if Dr. Misbach and his colleagues had any problems postoperatively with low output state. DR. MISBACH: I thank Dr. Laks for his comments and also for reemphasizing the advisability of replacing the pulmonary valve in preference to the tricuspid valve, although, of course, both may be required in some patients. An additional consideration is that as degeneration and calcification of some of the heterograft valves occur, the right ventricle may be able to tolerate stenosis of a valve in the pulmonary position
better than the right atrium can handle stenosis across a valve in the tricuspid position. To answer Dr. Laks’s question about myocardial protection, we have thought that in the absence of coronary stenoses, perfusion of the fibrillating heart probably is better than no perfusion at all. With the patient under moderate hypothermia and hemodilution, we fibrillate the heart for a portion of the procedure and leave it beating for the last portions when the outflow tract patch is being completed. We have not had difficulties with low cardiac output postoperatively.
Notice from the North American Transplant Coordinators Organization Organ Donor Line Available to Health Professionals The nation’s first toll-free telephone number for physicians, nurses, and other health professionals with questions about a potential organ donor has been based at the University of Pittsburgh. The number will assist health professionals by providing urgently needed information for a donor and referring the caller to his or her local procurement organization. The phone number, restricted to doctors, nurses, and other health professionals, is (800) 24-DONOR. The number operates 24 hours a day, 365 days a year. It is a service of the North American Transplant Coordinators Organization (NATCO) and part of its attempts to expand efforts to match available organs with those people waiting for a transplant. NATCO
is the professional association of individuals responsible for organ procurement in hospitals. According to Donald W. Denny, director of organ procurement for the University of Pittsburgh, there are 110 organ procurement centers in this country, but often doctors and health professionals do not know whom to contact locally when a donor is identified. The new number provides information on the organ needs of the major transplant institutions in the United States and Canada. It includes information on kidneys, hearts, livers, lungs, pancreases, and heart/lung combinations. The general public can make inquiries about organ donations through DONORS-7 (3666777).
on the right side of the heart. I wonder if Dr. Misbach and his colleagues had any problems postoperatively with low output state. DR. MISBACH: I thank Dr. Laks for his comments and also for reemphasizing the advisability of replacing the pulmonary valve in preference to the tricuspid valve, although, of course, both may be required in some patients. An additional consideration is that as degeneration and calcification of some of the heterograft valves occur, the right ventricle may be able to tolerate stenosis of a valve in the pulmonary position
better than the right atrium can handle stenosis across a valve in the tricuspid position. To answer Dr. Laks’s question about myocardial protection, we have thought that in the absence of coronary stenoses, perfusion of the fibrillating heart probably is better than no perfusion at all. With the patient under moderate hypothermia and hemodilution, we fibrillate the heart for a portion of the procedure and leave it beating for the last portions when the outflow tract patch is being completed. We have not had difficulties with low cardiac output postoperatively.
Notice from the North American Transplant Coordinators Organization Organ Donor Line Available to Health Professionals The nation’s first toll-free telephone number for physicians, nurses, and other health professionals with questions about a potential organ donor has been based at the University of Pittsburgh. The number will assist health professionals by providing urgently needed information for a donor and referring the caller to his or her local procurement organization. The phone number, restricted to doctors, nurses, and other health professionals, is (800) 24-DONOR. The number operates 24 hours a day, 365 days a year. It is a service of the North American Transplant Coordinators Organization (NATCO) and part of its attempts to expand efforts to match available organs with those people waiting for a transplant. NATCO
is the professional association of individuals responsible for organ procurement in hospitals. According to Donald W. Denny, director of organ procurement for the University of Pittsburgh, there are 110 organ procurement centers in this country, but often doctors and health professionals do not know whom to contact locally when a donor is identified. The new number provides information on the organ needs of the major transplant institutions in the United States and Canada. It includes information on kidneys, hearts, livers, lungs, pancreases, and heart/lung combinations. The general public can make inquiries about organ donations through DONORS-7 (3666777).