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Experience with orthotopic heart transplantation.
Summary
Orthotopic heart transplantation is a viable therapy for select patients. Early and late postoperative survival rates show promising results, with seven of nine patients surviving.
Area of Science:
- Cardiology
- Cardiac Surgery
- Transplantation Medicine
Background:
- Heart transplantation outcomes have improved significantly since the early 1980s.
- This has led to a substantial increase in the annual number of procedures performed worldwide.
Purpose of the Study:
- To review the authors' experience with orthotopic heart transplantation.
- To assess the early and late outcomes of these procedures.
Main Methods:
- A review of 11 orthotopic heart transplantations performed between January 1984 and October 1986.
- Analysis of early and late postoperative patient survival and condition.
Main Results:
- Eleven orthotopic heart transplantations were performed.
- Two patients died in the early postoperative period; nine were discharged.
- Two late postoperative deaths occurred, with seven surviving patients in satisfactory condition.
Conclusions:
- Heart transplantation is a proven therapeutic option for carefully selected patients.
- The procedure requires centers with extensive experience in cardiology, cardiac surgery, and organ transplantation.