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The first combined heart-lung transplantation in the Czech Republic from the perspective of an anaesthesiologist and an intensivist


Authors: Březina Aleš 1;  Wurmová Šárka 1;  Říha Hynek 1;  Pinďák Marián 1;  Kellovský Pavel 1;  Hošková Lenka 2;  Málek Ivan 2;  Vrbská Jana 2;  Pirk Jan 3;  Skalský Ivoš 3;  Hytych Vladislav 4;  Vašáková Martina 5
Authors‘ workplace: Klinika anesteziologie a resuscitace, Kardiocentrum IKEM, Praha 1;  Klinika kardiologie, Kardiocentrum IKEM, Praha 2;  Klinika kardiovaskulární chirurgie, Kardiocentrum IKEM, Praha 3;  Chirurgická klinika 1. LF UK a Fakultní Thomayerovy nemocnice s poliklinikou, Praha 4;  Pneumologická klinika 1. LF UK a Fakultní Thomayerovy nemocnice s poliklinikou, Praha 5
Published in: Anest. intenziv. Med., 19, 2008, č. 6, s. 304-307
Category: Anaesthesiology - Case Report

Overview

The first combined heart-lung transplantation in the Czech Republic was successfully performed on November 22nd, 2007. The patient was a 49-year woman who suffered from congenital heart disease complicated by severe pulmonary hypertension which excluded the possibility of heart transplantation only. The uncomplicated surgery took 8 hours and her ICU stay was 12 days. The patient was discharged from the hospital on January 11th, 2008 in a very good condition. Presently she does not complain of any serious problems and is under regular follow-up.

Key words:
heart and lung transplantation – anaesthesia – intensive care – the first experience in the Czech Republic


Sources

1. Cooley, D. A., Bloochwell, R. D., Hallman, G. L. et al. Organ transplantation for advanced cardiopulmonary disease. Ann. Thorac. Surg., 1969, 8, p. 30–46.

2. Castaneda, A. R., Zamora, R., Schmidt-Habelman, P. et al. Cardiopulmonary autotransplantation in primates. J. Cardiovasc. Surg., 1972, 13, p. 523–531.

3. Caves, P. K., Stinson, E. B.,Billingham, M. et al. Percutaneous transvenous endomycardial biopsy in human heart recipients. Experince with a new technique. Ann. Thorac. Surg., 1973, 16, p. 325–326.

4. Jamieson, S. W., Buton, N. A., Bieber, C. P. et al. Cardiac-allograft survival in primates treated with cyclosporin A. Lancet, 1979, 1, p. 545.

5. Reitz, B. A., Wallwork, J. L., Hunt, S. A. et al. Heart-lung transplantation: successful therapy for patients with pulmonary vascular disease. N. Engl. J. Med., 1982, 306, p. 557–564.

6. Buton, C. M., Milman, N., Carlsen, J. et al. The Copenhagen National Lung Transplant Group: survival after single lung, double lung, and heart-lung transplantation. J. Heart Lung. Transplant., 2005, 24, p. 1834–1843.

7. Lee, S. H., Rubin, L. J. Current treatment strategies for pulmonary arterial hypertension. J. Inter. Med., 2005, 258, p. 199–215.

8. Letsou, G. V., Baldwin, J. C. Heart and Heart-lung Transplantation. In: Morris, P. J., Wood, W. C. Oxford Textbook of Surgery. 2nd edition. Oxford Press, 2000, Chapter 16.7.

9. Dew, M. A., DiMartini, A. F. Psychological disorders and distress after adult cardiothoracic transplantation. J. Cardiovasc. Nurs., 2005, 20, p. 51–66.

10. Harjula, A., Baldwin, J. C., Starnes, V. A. et al. Proper donor selection for heart-lung transplantation. The Stanford experience. J. Thorac. Cardiovasc. Surg., 1987, 94, p. 874–880.

Dostupný na: www.eurotransplant.org.

Labels
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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