Karte 10: All-out War!! The Fateful Heart Transplant
click to show/hide spoilersAsada's surgery on Noguchi is a success and Noguchi gets Meishin accredited as a heart transplant facility. However, he disregards the plan Kataoka Kazumi had suggested as the terms of exchange for his surgery. He dissolves his business relationship with Kataoka. Furthermore, if Otobe Yuuta's surgery succeeds, the acceptance of Asada and the other team members in Meishin ...
There are two high-calibre heart surgery teams due to the temporary return of Asada and the rest to Meishin. Kitou Shoko's team is to operate on its first heart transplant patient since the heart transplant facility accreditation. Because Kitou's patient, Yamano Fumihiko is a VIP, he is placed high on the heart transplant waiting list, ready to be operated upon once a donor heart is found.
Meanwhile, Asada gathers the team and holds a meeting on Yuuta's condition. Old Team Dragon members, Arase and Miki are formidable members who have joined Fujiyoshi, Ijyuuin, Kodaka, Matsudaira, Toyama, and Nomura. However, the 9-year-old Yuuta's turn for a heart transplant is extremely low compared to Kitou's patient. Even so, Asada doesn't give up hope. He urges the members to undergo thorough training to prepare for the surgery.
Asada orders Ijyuuin to join Kitou's team one day. He persuades Ijyuuin, who cannot hide his disgruntlement, to learn from Kitou's heart transplant surgery to prepare for Yuuta's surgery because hers will be conducted first.
Noguchi cannot restrain his laughter when he learns that Ijyuuin has joined Team Kitou. Noguchi says Asada can tell that Yuuta will die before a suitable heart is found. Therefore, he is leaving the young Ijyuuin in Kitou's care before it is too late, with the intention of letting Ijyuuin remain at Meishin. Hearing this, Kihara retorts without thinking.
One night, Miki comes to the ward to find Yuuta in pain. He is immediately taken to the ICU, and diagnosed as having liver cirrhosis. Asasda announces to the assembled members that a living donor liver transplant will be performed. He says Yuuta will receive a liver transplant from his mother so that he can recover his liver function in order to wait for a donor heart. Matsudaira, who is performing the liver transplant, goes along with this thought and resolves to keep Yuuta's liver going. Asada promises Yuuta, who seems discouraged by his illness, that he'll definitely be cured.
The day for Yuuta's living donor liver transplant comes. Meishin receives a telephone call. A donor has been found for Kitou's patient, Yamano. At Kitou's order, Ijyuuin sets off to get the heart. Asada and the rest go into Yuuta's live organ transplant surgery although they know of this. Team Kitou's preparation for the heart transplant surgery also progresses steadily.
The live liver transplant surgery and the heart transplant surgery start around the same time. Matsudaira first removes a portion of liver from Yuuta's mother. On the other hand, Kitou cuts open up Yamano's chest while waiting for the donor heart. However, Yamano's condition changes abruptly, and the heart transplant becomes impossible. Without an alternative, Kitou determines that the donor heart is no longer required and contacts the organ transplant network. Ijyuuin, who is unaware of the developments, is on the way back to Meishin with the donor heart.
Kihara comes running to the observation room where Asada and the rest are watching Matsudaira's surgery. Yuuta's donor heart has been found. It is actually the heart that had been allocated to Kitou's patient. However the organ transplant network decided that Yuuta is the most suitable because Ijyuuin is already headed for Meishin and there's a priority for organ transplant. But Yuuta is already undergoing the live liver transplant surgery. Regulations prohibit heart surgery for patients with liver disorders. Moreover, it will be extremely difficult to implant an adult's donor heart in Yuuta, who is merely a child.
Despite this, Asada declares concurrent transplant surgeries of the liver and heart. Kataoka takes action in order to keep Noguchi ignorant of this surgery. Asada, Fujiyoshi and Toyama prepare for the heart transplant. They are unaware that at that moment, the vehicle that is carrying Ijyuuin to the airport has been brought to a standstill ...