Pretransplant reconstructive surgery on donor heart
Aim: to evaluate the immediate results of reconstruction of the valve heart apparatus and the great vessels of the heart graft before implantation.Materials and methods. The analysis included 24 cardiac transplants with pathology of the valve apparatus and the great vessels, as well as 24 recipients...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Russian |
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Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
2019-10-01
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| Series: | Vestnik Transplantologii i Iskusstvennyh Organov |
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| Online Access: | https://journal.transpl.ru/vtio/article/view/1063 |
| _version_ | 1797872000786497536 |
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| author | G. A. Akopov A. S. Ivanov V. N. Poptsov M. K. Lugovskiy A. M. Pogosyan |
| author_facet | G. A. Akopov A. S. Ivanov V. N. Poptsov M. K. Lugovskiy A. M. Pogosyan |
| author_sort | G. A. Akopov |
| collection | DOAJ |
| description | Aim: to evaluate the immediate results of reconstruction of the valve heart apparatus and the great vessels of the heart graft before implantation.Materials and methods. The analysis included 24 cardiac transplants with pathology of the valve apparatus and the great vessels, as well as 24 recipients who needed emergency heart transplantation and were in the clinic under UNOS status code 1A and 1B.Results. Before performing heart transplantation, the valve apparatus and great vessels were corrected.Conclusion. With a shortage of donor organs for recipients requiring emergency care, cardiovascular transplantation from “suboptimal” donors is one of the most affordable ways. Given the possibility of reconstructive operations on the valve apparatus and the great vessels of the donor heart, and evaluating satisfactory immediate results of demonstrated observations, it can be argued that the above way out would reduce urgent waitlist mortality, achieve satisfactory survival results in the early postoperative period, increase the donor resource and optimize the transplant program. |
| first_indexed | 2024-04-10T00:51:56Z |
| format | Article |
| id | doaj.art-64c88052f9954df7a53a512fff2d7a88 |
| institution | Directory Open Access Journal |
| issn | 1995-1191 |
| language | Russian |
| last_indexed | 2024-04-10T00:51:56Z |
| publishDate | 2019-10-01 |
| publisher | Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov |
| record_format | Article |
| series | Vestnik Transplantologii i Iskusstvennyh Organov |
| spelling | doaj.art-64c88052f9954df7a53a512fff2d7a882023-03-13T10:37:25ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovVestnik Transplantologii i Iskusstvennyh Organov1995-11912019-10-01213536110.15825/1995-1191-2019-3-53-61803Pretransplant reconstructive surgery on donor heartG. A. Akopov0A. S. Ivanov1V. N. Poptsov2M. K. Lugovskiy3A. M. Pogosyan4V.I. Shumakov National Medical Research Center of Transplantology and Artificial Organs of the Ministry of Healthcare of the Russian FederationV.I. Shumakov National Medical Research Center of Transplantology and Artificial Organs of the Ministry of Healthcare of the Russian FederationV.I. Shumakov National Medical Research Center of Transplantology and Artificial Organs of the Ministry of Healthcare of the Russian FederationV.I. Shumakov National Medical Research Center of Transplantology and Artificial Organs of the Ministry of Healthcare of the Russian FederationV.I. Shumakov National Medical Research Center of Transplantology and Artificial Organs of the Ministry of Healthcare of the Russian FederationAim: to evaluate the immediate results of reconstruction of the valve heart apparatus and the great vessels of the heart graft before implantation.Materials and methods. The analysis included 24 cardiac transplants with pathology of the valve apparatus and the great vessels, as well as 24 recipients who needed emergency heart transplantation and were in the clinic under UNOS status code 1A and 1B.Results. Before performing heart transplantation, the valve apparatus and great vessels were corrected.Conclusion. With a shortage of donor organs for recipients requiring emergency care, cardiovascular transplantation from “suboptimal” donors is one of the most affordable ways. Given the possibility of reconstructive operations on the valve apparatus and the great vessels of the donor heart, and evaluating satisfactory immediate results of demonstrated observations, it can be argued that the above way out would reduce urgent waitlist mortality, achieve satisfactory survival results in the early postoperative period, increase the donor resource and optimize the transplant program.https://journal.transpl.ru/vtio/article/view/1063heart transplantationdonor organheart failureheart valve repair |
| spellingShingle | G. A. Akopov A. S. Ivanov V. N. Poptsov M. K. Lugovskiy A. M. Pogosyan Pretransplant reconstructive surgery on donor heart Vestnik Transplantologii i Iskusstvennyh Organov heart transplantation donor organ heart failure heart valve repair |
| title | Pretransplant reconstructive surgery on donor heart |
| title_full | Pretransplant reconstructive surgery on donor heart |
| title_fullStr | Pretransplant reconstructive surgery on donor heart |
| title_full_unstemmed | Pretransplant reconstructive surgery on donor heart |
| title_short | Pretransplant reconstructive surgery on donor heart |
| title_sort | pretransplant reconstructive surgery on donor heart |
| topic | heart transplantation donor organ heart failure heart valve repair |
| url | https://journal.transpl.ru/vtio/article/view/1063 |
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