PMID: 16524077Mar 10, 2006Paper

Heart transplant. Preservation and surgical technique. Eleven-year experience

Revista de investigación clínica; organo del Hospital de Enfermedades de la Nutrición
Guillermo Careaga-ReynaRubén Argüero-Sánchez

Abstract

Heart transplantation is a treatment which has modified the long-term, survival and terminal heart failure patients. The objective of this work is to inform our experience with this surgical procedure. We analyzed the heart transplants realized between January 1, 1993 and November 30, 2004, the surgical techniques for harvest and implant and the procedure of heart preservation. The conventional approach for harvesting was median sternotomy with celiotomy in multiorgan donation. In main cases for preservation, we used the Bretschneider solution at 30 cc/ kg and 4 degrees C of temperature. For the implant of the heart the surgical techniques were biatrial or bicaval anastomosis. A total of 16 heart transplantation was realized. The mean age of the recipients was 41 year-old (range: 15 a 57). In 68.7% the indication for the procedure was dilated idiopathic cardiomyopathy. The ischemic period was 154.6 +/- 63.9 min. There were 4 harvesting procedures out of the city. In 4 cases we used biatrial anastomosis, and in the other patients the bicaval procedure. We have three deaths for primary organ failure. The one-year survival was 80.2%. Heart transplantation is a therapeutic option to improves long-term, survival in heart failure pat...Continue Reading

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