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Published on: October 11, 2024
[Heart transplantation: preoperative evaluation, perioperative management, postoperative follow-up]
Tahir Yağdı1, Sanem Nalbantgil2, Mustafa Özbaran3
1Department of Cardiovascular Surgery, Ege University Faculty of Medicine, İzmir, Turkey. tahir.yagdi@ege.edu.tr.
Insights
Heart transplantation is the best treatment for end-stage heart failure, but organ scarcity causes long waits. Improvements in patient selection and post-transplant care enhance outcomes for heart transplant recipients.
Area of Science:
- Cardiology
- Transplantation Medicine
- Immunology
Context:
- Heart transplantation is the optimal therapy for end-stage heart failure.
- Increasing organ donor scarcity leads to extended waiting times for patients.
- Significant advancements have improved heart transplant outcomes.
Purpose:
- To review current management strategies for heart transplant recipients.
- To discuss proposed changes for optimizing heart transplant outcomes.
Summary:
- Heart transplantation is a leading treatment for end-stage heart failure.
- Donor organ scarcity is a major challenge, increasing wait times.
- Improvements in recipient/donor selection, perioperative care, and postoperative management (immunosuppression, infection prevention) have enhanced outcomes.
- This review focuses on managing complex heart transplant patients and suggests future improvements.
Impact:
- Enhanced understanding of complex heart transplant patient management.
- Provides insights into potential strategies for improving heart transplant success rates.
- Contributes to the field of transplantation medicine by addressing organ scarcity and optimizing patient care.
Abstract:
Heart transplantation has, over the years, become the best treatment choice for patients with end-stage heart failure. The increase in longer waiting times among patients awaiting transplantation is due to scarcity of suitable donor organs. Major improvements in recipient and donor selection, perioperative management and postoperative follow-up such as immunosuppressive treatment and prevention of opportunistic infections have considerably enhanced the outcome of heart transplantation. This review will focus on the managements of these complex patients, as well as on some proposed changes to achieve better results.
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