eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2026 , Vol. 7 >Issue 6: 682 - 684

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.06.007

Special Planning——Rehabilitation Nursing for Cardiac Surgery

Early warning and nursing intervention for primary graft dysfunction after heart transplantation using a marginal donor heart：a case report

  • ZHANG Hui ,
  • HE Xuehua ,
  • WANG Li ,
  • GONG Xiaoyan ,
  • ZHUANG Yiyu
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  • Nursing Department， Sir Run Run Shaw Hospital，Zhejiang University School of Medicine， Hangzhou 310000， China

Received date: 2025-09-14

  Online published: 2026-06-02

Supported by

Sustainable Development of Hospitals in Zhejiang Province-Yangtze River Research Project(2024ZHA-YZJ210)

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Abstract

This report summarized the nursing experience of a patient who developed primary graft dysfunction （PGD） after heart transplantation using a marginal donor heart. Key nursing interventions included the implementation of a nurse-led early warning system based on the characteristics of the marginal donor heart，the rapid initiation of veno-arterial extracorporeal membrane oxygenation（VA-ECMO） combined with continuous renal replacement therapy（CRRT），the execution of phased and precise volumetric titration management according to dynamic hemodynamic assessments，and the implementation of a right heart-protective ventilation strategy guided by bedside electrical impedance tomography（EIT）-based visualization monitoring. The patient was successfully transferred out of the intensive care unit on postoperative day 16 and discharged on day 22.

Key words： Extracorporeal Membrane Oxygenation; Marginal Donor; Primary Graft Dysfunction; Heart Transplantation; Critical Care Nursing

Cite this article

ZHANG Hui , HE Xuehua , WANG Li , GONG Xiaoyan , ZHUANG Yiyu . Early warning and nursing intervention for primary graft dysfunction after heart transplantation using a marginal donor heart：a case report[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026 , 7(6) : 682 -684 . DOI: 10.3761/j.issn.2096-7446.2026.06.007

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