SOME FEATURES OF ORTHOTOPIC HEART TRANSPLANTATION WITH DISCREPANCIES BETWEEN DONOR AND RECIPIENT AORTIC DIAMETERS

• Main Authors: K. O. Barbukhatti, V. S. Pykhteev, S. S. Babeshko, V. I. Kaleda, V. A. Porhanov
• Format: Article
• Language: Russian
• Published: Kubankurortresurs, OOO 2019-02-01
• Series: Инновационная медицина Кубани
• Subjects: heart transplantation; ascending aorta aneurysm; aortoplasty
• Online Access: https://inovmed.elpub.ru/jour/article/view/56

At present heart transplantation is the most effective method for treating patients with terminal stage of heart insufficiency. And now the number of possible recipients exceeds the number of performing transplantations several times in the world [1]. Due to the limited number of donors there is a necessity to rational employment for donor organs [2]. Deficit of donor hearts urged on surgeons to extend selection criteria and demands for heart harvesting in so called suboptimal donors which leads to increased number and timeliness performance of transplantations [3, 4, 5]. In the present article we demonstrated two clinical cases with successful orthotopic heart transplantation (OHT) with donor organs usage, which differed rather significantly regarding aortic dimensions, and this fact necessitated performance of reduction aortoplasty in recipients. Besides, we presented a case with aт OHT patient with ascending aorta aneurism, complicated dissection type II DeBakey, who was indicated supracoronary grafting of the ascending aorta and a part of aortic arch before the transplantation.