Table 1. Favorable donor characteristics.
Criteria for favorable donor for heart transplantation | |
---|---|
Age (<55 years) | |
Absence of significant structural abnormalities such as: | |
LV hypertrophy (wall thickness >13 mm by echocardiography) | |
Significant valvular dysfunction | |
Significant congenital cardiac abnormality | |
Significant coronary artery disease | |
Adequate physiologic function of donor heart | |
LVEF ≥45% or | |
Achievement of target hemodynamic criteria after hormonal resuscitation and hemodynamic management | |
MAP >60 mmHg | |
PCWP 8–12 mmHg | |
Cardiac index >2.4 L/min·m2 | |
CVP 4–12 mmHg | |
SVR 800–1,200 dyne/s·cm5 | |
No inotrope dependence | |
Donor-recipient body size match (usually within 20–30% of height and weight) | |
Negative hepatitis C antibody, hepatitis B surface antigen, and HIV serologies absence of active malignancy (except non-melanoma skin cancers and certain primary brain tumors) or overwhelming infection |
Adopted from reference 3.
CVP = central venous pressure; HIV = human immunodeficiency virus; LV = left ventricle; LVEF = left ventricle ejection fraction; MAP = mean arterial pressure; PCWP = pulmonary capillary wedge pressure; SVR = systemic vascular resistance.