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By V. N. Poptsov, E. A. Spirina, V. V. Pchelnikov, D. S. Ilyin, V. A. Ilyinskiy, I. D. Potapenko, S. G. Uchrenkov and N. A. Kuguneva


<div class="page" title="Page 1"><div class="section"><div class="layoutArea"><div class="column"><p><span>Use donor hearts with left ventricular hypertrophy (LVH) is controversial. This category of heart recipients has increasing risk of early graft failure. We proposed that heart transplantation (HT) with LVH </span><span>≥</span><span>1.5 cm may be successful if performed in selective category patients from alternate transplant list. This study included 10 pati- ents (2 female and 8 male) at the age 26–62 (44 ± 3), who needed urgent HT. This study showed that recipients with LVH </span><span>≥</span><span>1.5 cm demanded more high and long inotropic support with adrenalin and dopamine, more fre- quent use of levosimendan infusion (in 40% of cases) and intraaortic balloon conterpulsation (in 50% of cases). However we didn’t observed any difference in survival rate (90.0% vs 89.0%) and ICU time (4.8 ± 0.6 days vs 4.1 ± 0.4 days) between HT recipients with and without LVH. Our study showed that HT from donor with LVH </span><span>≥</span><span>1.5 cm may be performed in patients, demanding urgent HT, with acceptable early posttransplant results. </span></p></div></div></div></div

Topics: трансплантация сердца, гипертрофия миокарда левого желудочка, Surgery, RD1-811
Publisher: Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
Year: 2012
OAI identifier: oai:doaj.org/article:1b8008eb0bd941269c868174e726cafa
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