1.Orthotopic heart transplantation in 3 cases
Jichun LIU ; Jianjun XU ; Yuhua WAN ; Huageng RAO ; Qin WANG ; Zhiping LI ; Sheng LIU ; Qicai WU ; Tao GAO ; Gan CHEN
Chinese Journal of Tissue Engineering Research 2009;13(5):997-1000
Three cases of terminal stage heart disease received orthotopic heart transplantation at the Department of Cardiothoracic Surgery, the First Hospital of Nanchang University between August 2001 and December 2003. These three cases were all female and died of brain death. Body weight difference between donor and recipient was less than 20%. All three cases underwent superior and inferior vena cave osculation and received immunosuppressive therapy of cyclosporine A, prednisone, and mycophenolate postoperatively. They were successfully discarded. Heart function recovered to grade Ⅰ-Ⅱ(NYHA). No infection or serious rejection was found during the surgery. These results indicate that good donor heart preservation, consummate perioperative processing, and proper immunosuppressiva therapy are the key measures of successful heart transplantation.
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