The Journal of thoracic and cardiovascular surgery
-
J. Thorac. Cardiovasc. Surg. · Dec 2024
The Impact of Donor Obesity on Outcomes of Donation After Circulatory Death Heart Transplantation.
In the setting of the obesity epidemic and donor organ shortage in the United States, there is a growing need to expand the donor organ eligibility criteria for orthotopic heart transplantation (OHT). Donation after circulatory death (DCD) has emerged as a promising solution, but the outcomes with obese donor hearts in DCD OHT remains unknown. ⋯ Donor obesity does not confer an increased risk of recipient mortality in DCD OHT, particularly when NRP is used. PHM undermatching continues to be associated with adverse outcomes in DCD OHT.