Heart Transplantation: Surgical Techniques and Postoperative Concerns

Heart Transplantation: Surgical Techniques and Postoperative Concerns

Ahmed El-Eshmawi (Mount Sinai Medical Center, USA) and Anelechi Anyanwu (Mount Sinai Medical Center, USA)
Copyright: © 2015 |Pages: 24
DOI: 10.4018/978-1-4666-8603-8.ch026
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Abstract

Orthotopic heart transplantation (OHT) has evolved as the “gold standard” therapy for end stage cardiomyopathy, Advances in the fields of immunosuppression, infection prophylaxis and treatment, surgical techniques as well as intensice care management have transformed heart transplantation from what was once considered an experimental intervention into a standard therapy. This chapter focuses on the standard care for OHT including surgical techniques, perioperative management and management of common postoperative complications.
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Pretransplant Management

Indications for Cardiac Transplantation

Cardiac transplantation is reserved primarily for the treatment of patients with end-stage heart disease who have a reduced one-year expected survival despite optimal medical therapy. Patients should lack significant co-morbidities that might limit post-transplant survival.

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