Orthotopic heart transplantation (HTx) at NTUH - Taiwan

Orthotopic heart transplantation hasn’t ever performed in Vietnam at the present but in the future (maybe the next year) it will be deployed and developed because this is an advanced treatment method for heart failure patients with the end stage and HTx’s potentiality is very good in Vietnam. In the future, knowledge about HTx that I have achieved in here, it is a steady base for participating to deploy HTx of my hospital.
Steps of orthotopic heart transplantation (HTx) as follow: (Have exact co-operation between heart transplantation team and team take donor)
- Supine, ETGA, midline sternotomy
- Cannulation via AsAo, SVC and IVC
- On CPB, cooling to 300C
- Remove heart of recipient and prepare heart of donor
- Orthotopic heart transplantation: to perform left atrium anastomosis  pulmonary artery anastomosis  aorta Cardioplegia  right atrium anastomosis
- Re-warm, de-air, wean off CPB
- Remove canuls
- Haemostasis
- Set drains
- Close wound in layers

Congenital heart surgery at NTUH - Taiwan

In Vietnam (my hospital), congenital heart surgery, adult heart surgery and thoracic surgery are work together but in here it is separation and it is very professional. However, I have selected and updated congenital heart surgeries that I will be practiced in my department when I come back to Vietnam for example atrium septal defect (ASD), ventricular septal defect (VSD), tetralogy of Fallot, atrio-ventricular canal… and in the future, we are going to deploy TGA, Truncus.
I have also updated knowledge about SICU in children hospital (about cardiovascular surgery) for example ECMO, intensive care for children after cardiac surgery…..
I can describe a congenital heart surgery as follow:
- Supine, ETGA, midline sternotomy (or redo-sternotomy)
- Cannulation via AsAo, SVC and IVC (bicaval)
- On partial CPB, hypothermia to 200C
- Ante-grade cardioplegia
- To approach and repair (partial or total) lesions of heart
- Re-warm, de-air, wean off CPB
- Remove canuls
- Temporary pericardial pacemarker
- Haemostasis
- Set drains