Compositions and methods for the evaluation and resuscitation of cadaveric hearts for transplant
The present invention describes devices, solutions, and methods for the ex-vivo assessment, resuscitation, triage, and maintenance of human candidate cadaveric hearts.
1. A method of treating a candidate cadaveric heart comprising:
a) providing an arrested candidate cadaveric heart;
b) perfusing said candidate cadaveric heart with a physiological solution, wherein said physiological solution consists of Hank's balanced salt solution, ascorbic acid, reduced glutathione, L-arginine, heparin, adenosine, guanosine, inosine, ribose, lipids, red blood cells, albumin, insulin, epinephrine and aspirin;
c) converting said perfused arrested candidate cadaveric heart into a beating heart;
d) measuring the pH of the anterior aspect of the myocardium of said beating candidate cadaveric heart, and
e) transplanting said cadaveric heart when the pH, as measured in step d), is greater than 6.8 and a left ventricular end diastolic pressure is less than 30 mmHg.