Heart transplantation and follow-up

VernacularTitle:心脏移植及术后随访
Author: Shuiben XIE ; Zaigao ZHANG ; Yajun BEI ; Xiangwei JIANG ; Zhe ZHAO ; Han LI ; Haitao CHI ; Xu PAN
Publication Type:Journal Article
Keywords: Heart; Transplantation
From: Clinical Medicine of China 2010;26(2):116-118
CountryChina
Language:Chinese
Abstract: Objective To share the experience of heart thransplantation. Methods 3 recipients with terminal myocardiosis were reviewed. The transplantation was performed with inferior and superior vena anastomofic technique. During perioperative period, we selected and maintained the recipients, protected donor-isolated heart, supported circulation,decreased immune reaction and controlled infections. Results All the 3 patients survived. Heart function improved from NYHA class 1V before heart transplant to NYHA class Ⅰ, Ⅱ. The follow-up time was 19 months ,28 months and 49 months respectively. Rejection occurred in two cases due to non-compliance to medication. Conclusions Suitable recipient, proper donor heart procurement and preservation, suitable maintenance of circulation, proper managements of anti-immunitive reaction, prevention of infections are critical for successfal heart transplantation. Medicine-take required may avoid or reduce rejection.