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The Gregorio Marañón Hospital has performed the first cardiac transplant in arrest to a baby incompatible with the donor
El Madrid hospital Gregorio Marañón has successfully carried out the first transplant in the world of a stopped child's heart, which was received by a two-month-old baby with blood incompatibility with his donor.
It is also a caseunique in the world” because donor and recipient were in different centers and the transplant was performed after a prolonged period of cold ischemia during the transfer, which had to be carried out by air, according to the Community of Madrid in a statement issued this Monday.
The Hospital General Universitario Gregorio Marañón began a program in 2018, first in Spain, which allows it to perform heart transplants in children with incompatible blood groups, to which is added that this is the first case in the country in which the heart graft from a donor in asystole is performed on such a small baby.
In the procedure used, the heart of the deceased donor was recovered before its extraction through an extracorporeal circulation system, which allows organs susceptible to transplant to be kept oxygenated and cardiac function to be assessed, explains the Community.
These extraordinary transplants, between people with an incompatible blood group and a stopped heart, were previously “unfeasible,” but now help to “significantly increase” the chances of “recovering a heart for the youngest children,” babies just a few years old. months, for which there are “few donations.”
This is how j explains ithead of Children's Cardiac Surgery at Gregorio Marañón, Juan Miguel Gil Jaurena, who adds that the complexity lies in “recovering the heartbeat.”, which is stopped”, and clarifies that, after recovery, the steps to follow are the same as in a traditional extraction.
Naiara's situation prior to the operation was very complex, because the heart problems that were detected during pregnancy forced her to give birth early and then wait for the rest of her organs to "mature enough" to consider the possibility of for the girl to enter the transplant list.
Now his case “gives greater hope” to families with children with very serious illnesses, the Community of Madrid highlights.
For her part, the general director of the National Transplant Organization, Beatriz Domínguez-Gil, values the role of the donor's family, who, in the worst moments of their life, "did not hesitate to agree to the donation." at the same time that highlights the cooperation between the teams of the two centers involved.
