Perioperative management in pediatric heart transplantation

被引：6
|
作者：
Bauer, J [1 ]
Thul, J [1 ]
Valeske, K [1 ]
Müller, M [1 ]
Michel-Behnke, I [1 ]
Gehron, J [1 ]
Schranz, D [1 ]
Akintürk, H [1 ]
机构：
[1] Univ Giessen, Pediat Heart Ctr Giessen, D-35385 Giessen, Germany
来源：
THORACIC AND CARDIOVASCULAR SURGEON | 2005年 / 53卷
关键词：
heart transplantation; early mortality; pulmonary hypertension; graft failure; assist device;
D O I：
10.1055/s-2004-830470
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Peri- and early postoperative mortality significantly influences the probability of survival following heart transplantation in children. Main causes of death early after transplantation are rejection, non specific graft failure and RV failure due to pulmonary hypertension. Optimal therapy of pulmonary hypertension and aggressive use of assist devices as a bridge to recovery will substantially improve survival in the early period after transplantation. Furthermore, the use of marginal donor organs will be more acceptable because transient myocardial insufficiency may recover during extracorporeal life support.
引用
收藏
页码：S155 / S158
页数：4
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