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DOI: 10.3791/52418-v
This article describes a novel technique for heterotopic abdominal heart-lung transplantation (HAHLT) in rats. The method allows for direct functional assessment of the graft through a partially loaded graft circulation.
We describe a novel technique for heterotopic abdominal heart-lung transplantation (HAHLT) in rats. The transplant configuration results in a partially loaded graft circulation, allowing direct functional assessment. This model may be employed for acute or chronic studies of function and immunologic status of the transplanted graft.
The overall goal of this procedure is to hetero topically transplant a heart and single lung graft in a configuration that permits volume loading. This is accomplished by first harvesting the donor heart lung graft. Next, the recipient is prepared and then the donor tissue is implanted.
Finally, the donor graft tissue is de aired and reperfused. Ultimately, a pressure volume conductance catheter can be used to assess the function of the graft in real time. The main advantage of this technique over existing methods like heterotopic abdominal heart transplantation, is that the addition of the lung graft allows for antegrade blood flow through a native circuit, facilitating dynamic volume loading of the heart lung graft, as well as cardiovascular assessment post-transplant.
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