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Updated: Jul 10, 2025

A Porcine Heterotopic Heart Transplantation Protocol for Delivery of Therapeutics to a Cardiac Allograft
Published on: February 14, 2022
Ambulatory milrinone therapy as a bridge to heart transplantation
Bhargava Venkata Devarakonda1, Sameer Kumar2, Nikhil Tiwari3
1Associate Professor (Anaesthesia) & Cardiothoracic Anaesthesiologist, Army Institute of Cardio -Thoracic Sciences (AICTS), Pune, India.
Abstract:
Inotrope therapy for patients with advanced heart failure awaiting a heart transplant or ventricular assist device has been reported to facilitate hospital discharge. We report the case of a 46-year-old man with advanced heart failure (Stage D), initially found unsuitable for a heart transplant due to high pulmonary vascular resistance (PVR) was placed on ambulatory Milrinone therapy leading to significant improvement in PVR. He underwent a successful orthotopic heart transplant.

