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[Heart transplantation. The current problems of patient selection, examination and treatment]
Insights
In 1988, 10 heart transplantations were performed. Despite challenges, 7 patients survived long-term, highlighting the need for increased heart transplant surgeries and improved recipient screening.
Area of Science:
- Cardiology
- Surgical Procedures
Context:
- Analysis of heart transplantation outcomes in 1988.
- Focus on the Department of Coronary Surgery and Heart Transplantation's activities.
- Evaluation of patient selection and post-operative results.
Purpose:
- To review the efficacy and challenges of heart transplantation procedures in 1988.
- To assess patient outcomes, including survival rates and complications.
- To identify areas for improvement in patient selection and surgical volume.
Summary:
- 119 patients were evaluated, with 77 admitted for potential heart transplantation.
- 10 heart transplantations were performed, with 7 patients surviving 4-17 months post-operation.
- 3 patients died from infectious complications, and 8 died awaiting donors.
Impact:
- Highlights the critical need for increased heart transplantation surgeries due to a lack of effective treatments for terminal heart disease.
- Emphasizes the importance of collaboration between internists and cardiologists for effective screening of potential heart recipients.
- Suggests that improved patient selection and increased surgical volume can enhance outcomes for end-stage heart failure patients.
Abstract:
An analysis was made of the work carried out by the Department of Coronary Surgery and Heart Transplantation as regards heart transplantations during 1988. As many as 119 patients, hypothetical heart recipients, received medical advice. The Department refused hospitalization to 42 patients because of the nonconformity to the indications and contraindications to heart transplantation. 77 patients were admitted to the Department. During examinations and treatment, 53 persons were discharged from hospital. 8 patients died before donor's hearts were received. Donor's hearts were transplanted to 10 patients. 3 persons died from severe infectious complications on days 12, 15 and 43 after the operation. Following the operation 7 patients have been surviving from 4 to 17 months. The patients' status remains satisfactory. The functional parameters of the donor's heart are within normal. Taking into consideration the lack of the treatment methods for patients with terminal heart lesions, it is necessary that the number of operations be increased. A great importance in this case is attached to the joint efforts of internists and cardiologists, aimed at the screening and examination of potential heart recipients.