PERSPECTIVES IN CARDIAC TRANSPLANTATION: OPERATIVE TECHNIQUES AND EARLY POSTOPERATIVE CARE IN CARDIAC TRANSPLANTATION

Yıl 2000, Cilt: 13 Sayı: 4, 233 - 240, 03.12.2016

Adnan Çobanoğlu

Öz

Although heart transplantation has become a popular therapeutic modality in only the last decade, the technical groundwork started in the early 1900s and spanned more than 60 years, ultimately leading to the first successful clinical orthotopic allograft heart transplantation in 1967(1-7). In addition to decades of work refining the operative technique, particularly over the last two decades, significant improvements in cardiac anesthesia and conduct of extracorporeal circulation, and better myocardial preservation techniques have all contributed to excellent operative outcome in heart transplantation. Today it is not unrealistic to expect a surgical mortality of well below 10%.
The following perspectives are based on the author’s personal experience encompassing close to 400 heart and lung transplant cases as Director of the Heart and Lung Transplantation Programs at the Oregon Health Sciences University, in Portland, Oregon, U.S.A.

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