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First brain dead donor heart transplantation under new legislation in Japan
H Matsuda1, N Fukushima, Y Sawa
1First Department of Surgery, Osaka University Medical School, Japan.
The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|November 11, 1999
Insights
Japan
Area of Science:
- Cardiovascular Surgery
- Transplantation Medicine
- Medical Ethics and Law
Background:
- The legal framework for organ transplantation in Japan was established in 1997.
- Hypertrophic cardiomyopathy is a significant condition requiring advanced cardiac support.
- Implantable left ventricular assist devices offer temporary circulatory support.
Abstract:
The first heart transplantation was carried out in Japan successfully, after the brain death and organ transplantation law was settled in 1997. The recipient patient was a 47-year-old man with the dilated phase of hypertrophic cardiomyopathy who had been on a Novacor implantable left ventricular assist system for the previous 4 months. Since the donor hospital was about 200 km from the recipient hospital which took approximately 2 hours for transportation, the total ischemic time was 3 hours and 24 minutes. The post-transplant course was smooth, and the patient was discharged on postoperative day 75.