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KMID : 0604020100250020089
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Korean Journal of Critical Care Medicine
2010 Volume.25 No. 2 p.89 ~ p.92
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Successful Heart Transplantation after Dobutamine, Glucose-insulin-potassium, and Hormone Therapy in a Hemodynamically Unstable Cadaveric Heart Donor
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Kim So-Yeun
Kim Ha-Kyoung
Chang Eun-Ji
Na Sung-won
Yoo Young-Chul
Koh Shin-Ok
Yun Tae-Jin
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Abstract
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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.
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KEYWORD
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brain death, cardiomyopathy, echocardiography
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