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  • Complications after heart transplantation: a case report
    Potočnik, Iztok, 1971- ; Hollan, Jiri
    Heart transplantation is today the most aggressive, but also the most successful way to treat the end heart failure.1 Transplantation is indicated for the patients with an intense heart insufficiency ... (NYHA4, LVEF less than 20%), when all other surgical and medical alternatives are excluded.2 A lot ofcomplications can appear in the perioperative period. Before the transplantation we have to consider all the patient's indications and contraindications for the transplantation.3 4 The most important absolute contraindications are: tixed pulmonary hypertensions 5 6 7 (as reflected by a calculated pulmonary vascular resistance above 6 Wood units, or a pulmonary arteriolar gradient greater than 15 mmHg.)8, active malignancy, active systemic infection, severe cerebral or carotid vascular disease not amenable to surgery, severe chronic obstructive pulmonary disease or severe chronic bronchitis, irreversible and severe hepatic or renal dysfunction (unless combined transplant is possible), unmanageable and/or severe psychiatric disease, active peptic ulcer disease, substance addictions, positive HIV test.Relative contraindications are: unusual weight loss, drug or alcohol abuse, cigarette smoking, advanced age (over 65 years), severe cachexy, morbidobesity, generalised atherosclerosis, diabetes mel litus in poor control, history of cancer. All candidates for transplantation should enter the program with a comprehensive series of tests conducted by a multidisciplinary team of specialists. The risks and benefits should be discussed with each patient.9 10 11.
    Source: 14th anesthesia symposium Alpe Adria : Pula, Croatia, 10-12 May, 2002 (Str. 53-54)
    Type of material - conference contribution
    Publish date - 2002
    Language - english
    COBISS.SI-ID - 18017497

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