![]() Cut left superior pulmonary vein or if the lungs are being harvested the left atrial appendage to vent the left heart.Hemisect the IVC anteriorly to vent the right heart.Clamp IVC if the liver team vents through the infrarenal IVC.Generally the initiation of the clamping and perfusion sequence is initiated by the cardiac or pulmonary team. ![]() Suture securely in place the cardioplegia cannula, and attach clamped perfusion line.Administer 30,000 U Heparin intravenously.Ascertain if the liver/kidney team plans to vent into the pericardium or through the infrarenal IVC.Scrub prior to cannulation and ligation of the aorta and IVC by the liver/kidney team. ![]() Give an estimate of cross clamp time and travel time to allow planning to minimize ischemic time, particularly if prolonged perparation is necessary in the case of a reoperation or previously placed LVAD.Notify the transplant center if the heart is acceptable.Palpate and observe the coronary arteries for atherosclerosis.Examine the heart for wall motion, scars and contusions.Perform sternotomy, and create a pericardial cradle with sutures. ![]() ![]()
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