Pioneering Controlled Circulatory Donation Enables Timely heart transplant Between Santa Fe And Córdoba
November 12, 2025 — by Transplant News
WORLD NEWS – ARGENTINA: A hospital team in Córdoba completed a high-stakes heart transplant using a controlled donation after circulatory death protocol, marking a first for the provincial program. The donor was a patient with irreversible neurological deterioration who had not met brain-death criteria. Clinicians carried out a planned withdrawal that led to cardiac arrest, initiated a mandatory five-minute observation interval, and then proceeded with organ reperfusion to preserve the heart for retrieval.
The operation required tight coordination between the donor site in Santa Fe and the transplant center in Córdoba. Cardiothoracic surgeons from the Córdoba hospital were flown by a provincial air ambulance to the donor hospital to perform the procurement surgery. After surgical retrieval and reperfusion maneuvers, the heart was returned to Córdoba within the accepted ischemic window of under four hours, arriving in condition suitable for transplantation and allowing the surgical team to complete the transplant.
Medical leaders described the protocol as a technical expansion of the donor pool, explaining that controlled circulatory donation can increase organ availability for patients on waiting lists. Officials estimate the practice could raise the number of organs available by roughly 30 percent, a critical boost for hundreds of patients awaiting transplants. The Córdoba center emphasized that this work is part of public health efforts across provincial lines and highlighted the logistical and clinical challenges overcome to keep ischemic times within strict limits.
The case positions the provincial transplant program as a regional pioneer in applying controlled circulatory death protocols for heart retrieval. Hospital staff framed the achievement as the product of carefully timed surgical steps, inter-hospital coordination, and rapid aeromedical transport, all aimed at expanding access to life-saving heart transplantation while maintaining procedural safeguards.
