Transplantation of cardiac allografts with left ventricular hypertrophy 1.5 cm and more
Introduction. In case of donor heart shortage and expanding pool of patients waiting for heart transplantation (OHTx) liberalization of donor selection, especially use of donors with left ventricular hypertrophy (LVH), may be one of most realistic methods to extending number of OHTx.Aim: to evaluate...
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Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
2019-05-01
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| Series: | Вестник трансплантологии и искусственных органов |
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| Online Access: | https://journal.transpl.ru/vtio/article/view/984 |
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| author | V. N. Poptsov E. A. Spirina S. Yu. Ustin S. A. Masutin A. A. Dogonacheva V. Yu. Voronkov E. N. Zolotova A. I. Skokova |
| author_facet | V. N. Poptsov E. A. Spirina S. Yu. Ustin S. A. Masutin A. A. Dogonacheva V. Yu. Voronkov E. N. Zolotova A. I. Skokova |
| author_sort | V. N. Poptsov |
| collection | DOAJ |
| description | Introduction. In case of donor heart shortage and expanding pool of patients waiting for heart transplantation (OHTx) liberalization of donor selection, especially use of donors with left ventricular hypertrophy (LVH), may be one of most realistic methods to extending number of OHTx.Aim: to evaluate early and late outcomes after OHTx from donors with LVH ≥1.5 cm.Methods. We reviewed 160 heart recipients who underwent OHTx from donors with LVH 1.5 cm or more from 2011 to 2017.Results. The duration of anesthesia was 6.5 ± 0.7 h, surgery – 4.7 ± 0.3 h, cardiopulmonary bypass – 63–290 (145 ± 47) min and ischemia time was – 86–426 (168 ± 44) min. ICU stay was 7.4 ± 8.5 days. Hospital mortality in the study group was 8,1% (n = 13) and 30-day survival was 91.9%. Patients with or without donor LVH had similar early and long-term survival (p = 0.659).Conclusions. Own experience demonstrates the satisfactory results of HT from donors with LVH. In more cases, LV systolic function of cardiac allograft quickly normalized in the early period after HT. |
| format | Article |
| id | doaj-art-843941a7967848e88802184a73a3fa5a |
| institution | DOAJ |
| issn | 1995-1191 |
| language | Russian |
| publishDate | 2019-05-01 |
| publisher | Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov |
| record_format | Article |
| series | Вестник трансплантологии и искусственных органов |
| spelling | doaj-art-843941a7967848e88802184a73a3fa5a2025-08-20T03:21:06ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovВестник трансплантологии и искусственных органов1995-11912019-05-0121171610.15825/1995-1191-2019-1-7-16754Transplantation of cardiac allografts with left ventricular hypertrophy 1.5 cm and moreV. N. Poptsov0E. A. Spirina1S. Yu. Ustin2S. A. Masutin3A. A. Dogonacheva4V. Yu. Voronkov5E. N. Zolotova6A. I. Skokova7V.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 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 FederationIntroduction. In case of donor heart shortage and expanding pool of patients waiting for heart transplantation (OHTx) liberalization of donor selection, especially use of donors with left ventricular hypertrophy (LVH), may be one of most realistic methods to extending number of OHTx.Aim: to evaluate early and late outcomes after OHTx from donors with LVH ≥1.5 cm.Methods. We reviewed 160 heart recipients who underwent OHTx from donors with LVH 1.5 cm or more from 2011 to 2017.Results. The duration of anesthesia was 6.5 ± 0.7 h, surgery – 4.7 ± 0.3 h, cardiopulmonary bypass – 63–290 (145 ± 47) min and ischemia time was – 86–426 (168 ± 44) min. ICU stay was 7.4 ± 8.5 days. Hospital mortality in the study group was 8,1% (n = 13) and 30-day survival was 91.9%. Patients with or without donor LVH had similar early and long-term survival (p = 0.659).Conclusions. Own experience demonstrates the satisfactory results of HT from donors with LVH. In more cases, LV systolic function of cardiac allograft quickly normalized in the early period after HT.https://journal.transpl.ru/vtio/article/view/984heart transplantationleft ventricular hypertrophy |
| spellingShingle | V. N. Poptsov E. A. Spirina S. Yu. Ustin S. A. Masutin A. A. Dogonacheva V. Yu. Voronkov E. N. Zolotova A. I. Skokova Transplantation of cardiac allografts with left ventricular hypertrophy 1.5 cm and more Вестник трансплантологии и искусственных органов heart transplantation left ventricular hypertrophy |
| title | Transplantation of cardiac allografts with left ventricular hypertrophy 1.5 cm and more |
| title_full | Transplantation of cardiac allografts with left ventricular hypertrophy 1.5 cm and more |
| title_fullStr | Transplantation of cardiac allografts with left ventricular hypertrophy 1.5 cm and more |
| title_full_unstemmed | Transplantation of cardiac allografts with left ventricular hypertrophy 1.5 cm and more |
| title_short | Transplantation of cardiac allografts with left ventricular hypertrophy 1.5 cm and more |
| title_sort | transplantation of cardiac allografts with left ventricular hypertrophy 1 5 cm and more |
| topic | heart transplantation left ventricular hypertrophy |
| url | https://journal.transpl.ru/vtio/article/view/984 |
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