FIRST EXPERIENCE WITH HEART TRANSPLANTATION IN KRASNODAR REGION

Autor: K. O. Barbukhatti, E. D. Kosmacheva, N. V. Kizhvatova, E. V. Gordeeva, E. D. Aleksandrova, L. K. Kruberg, O. A. Pozdnyakova, C. A. Raff, I. I. Yakuba, V. A. Porkhanov
Jazyk: ruština
Rok vydání: 2012
Předmět:
Zdroj: Vestnik Transplantologii i Iskusstvennyh Organov, Vol 14, Iss 3, Pp 42-47 (2012)
Druh dokumentu: article
ISSN: 1995-1191
DOI: 10.15825/1995-1191-2012-3-42-47
Popis: The article presents the 2-year results of prospective study, which included 67 heart transplantations for end-stage heart failure, performed in Krasnodar, in Clinical regional hospital No 1. Survival rate was 89,1% (59 patients). Causes of death were septic complications, thromboembolia of the pulmonary artery, severe pancreatonecrosis, and transplant rejection due to non-compliance with immunosuppression therapy, heart rhythm disturbances. The most common complications were pneumonia (19%), heart graft rejection (10%), steroid-induced diabe- tes (10%). In a year after heart transplantation chronic heart failure, II stage, was diagnosed in 29 patients (43%), I stage – in 30 (44%) patients. Monitoring and therapy are carried out by cardiologists domiciliary and by spe- cialists of polyclinic of Krasnodar clinical hospital. Orthotopic heart transplantation is an effective treatment for end – stage heart failure. It is possible to provide surgical treatment and further management of patients in multisectoral regional medical hospital.
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