Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology · 1989
[Heart transplant].
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Queiroz e Melo J
Аннотация
The author presents a short historical note on the evolution of heart transplantation. He comments on the problems related with patient selection, organ donation and harvesting, and clinical evolution after transplantation, based on his experience with 21 patients submitted to heart transplantation. They are divided in two groups. The first, includes 4 who were operated on while being on heart assisted devices and had a hospital mortality of 50% (14-86; CL 70%). The second comprises the other 17 patients who had a hospital mortality of 12% (14-86; CL 70%). On a average hospital stay of 45 days, 59% of the patients had complications, on a average of 2.4 events per patient. Infectious problems were the most frequent. He emphasis the need for a earlier surgical indication to prevent the height incidence of post operative complications. There were 1.6 rejection episodes per patient on an average follow up period of 11 months. Actuarial survival curve shows a 67% survival at 2 years.