Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3231594 | Annals of Emergency Medicine | 2010 | 4 Pages |
Abstract
Use of cardiac allograft for transplantation from donors after acute poisoning is a matter of debate because of potential toxic organ injuries, especially if death results from massive ingestion of cardiotoxic drugs. We report successful allograft cardiac transplantation from a brain-dead patient after severe flecainide and betaxolol self-poisoning requiring extracorporeal life support. Extracorporeal life support was initiated in the emergency department because of a refractory cardiac arrest caused by the cardiotoxicants' ingestion and continued after the onset of brain death to facilitate organ donation of the heart, liver, and kidneys. Forty-five months later, each organ recipient was alive, with normal graft function.
Related Topics
Health Sciences
Medicine and Dentistry
Emergency Medicine
Authors
Benoît MD, PhD, Nicolas MD, Bruno MD, PhD, Jean-Sébastien MD, Pascal MD, PhD, Nicolas MD, France RN, Laurent MD, Alain MD, PhD, Frédéric J. MD, PhD, Pierre MD,