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Analysis on the therapeutic effects of orthotopic heart transplantation in 3 cases

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF ORGAN TRANSPLANTATION
Issue:
2
DOI:
10.3760/cma.j.issn.0254-1785.1997.02.102
Key Word:
原位心脏移植术;微温血逆行灌注;Orthotopic heart transplantation;Retrograde tepid blood cardioplegia

Abstract: From April 1992,othotopic heart transplantation (OHT) was successfully performed in 3 patients with late stage cardiomyopathy.The donor hearts were preserved by continuous retrograde reperfusion of tepid blood containing potassium during implantation.Among 3 cases,2 underwent standard OHT,one total OHT.Anastomoses were sutured in a continuous everting fashion.All patients were survived with good quality of life with survival time being 5 years,3 years and 1 year,respectively.It was suggested that continuous tepid reperfusion during implantation of donor heart is technically fcasiblc and sccms to provide enhanced myocardial preservation.Correct surgical procedures,carly diagnosis and effective treatment of acute rejection were the important factors for the improvement of early and late therapeutic effects after transplantation.

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