Operative Techniques and Early Postoperative Care in Cardiac Transplantation
Although heart transplantation has become a popular therapeutic modality in only the last decade, the technical groundwork started in the early 1900s and spanned more than 60 years (see Chapter 1), ultimately leading to the first successful clinical orthotopic allograft heart transplantation in 1967.1–7 In addition to decades of work refining the operative technique, particularly over the last two decades, significant improvements in cardiac anesthesia and conduct of extracorporeal circulation, and better myocardial preservation techniques have all contributed to excellent operative outcome in heart transplantation. Today it is not unrealistic to expect a surgical mortality of well below 10%.
KeywordsCatheter Ischemia Dopamine Heparin Warfarin
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