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Anästhesiologische Besonderheiten bei Patienten nach Herztransplantation

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Anästhesie und kardiovaskuläres System

Part of the book series: Klinische Anästhesiologie und Intensivtherapie ((KAI,volume 41))

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Zusammenfassung

Orthotope Herztransplantationen (HTPL) werden seit 10 Jahren weltweit in zunehmender Anzahl durchgeführt und sind an immer mehr medizinischen Zentren zu Routineeingriffen geworden. Die 30-Tage-Mortalität ist zwischen 1980 und 1988 von 17% auf weniger als 9% gesunken. Die Langzeitüberlebensrate nach HTPL beträgt ca. 90% nach einem Jahr, ca. 80% nach 5 Jahren und ca. 70% nach 10 Jahren [20]. Entsprechend ist zu erwarten, daß Anästhesieärzte in den Transplantations-wie auch in anderen medizinischen Zentren immer häufiger mit herztransplantierten Patienten konfrontiert werden, welche einen chirurgischen oder diagnostischen Eingriff benötigen.

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Literatur

  1. Baumgartner WA (1990) Retransplantation of the heart. In: Baumgartner WA, Reitz BA, Achuff SC (eds) Heart and heart-lung transplantation. Saunders, Philadelphia, pp 279–283

    Google Scholar 

  2. Bhatia SJS, Kirshenbaum JM, Shemin RJ et al. (1987) Time course of resolution of pulmonary hypertension and right ventricular remodelling after orthotopic cardiac transplantation. Circulation 76: 819–826

    Article  PubMed  CAS  Google Scholar 

  3. Borow KM, Neumann A, Arensman FW, Yacoub MH (1985) Left ventricular contractility and contractile reserve in humans after cardiac transplantation. Circulation 71: 866–872

    Article  PubMed  CAS  Google Scholar 

  4. Borow KM, Neumann A, Arensman FW, Yacoub MH (1989) Cardiac and peripheral vascular responses to adrenoceptor stimulation and blockade after cardiac transplantation. J Am Coll Cardiol 14: 1229–1238

    Article  PubMed  CAS  Google Scholar 

  5. Bricker SRW, Sugden JC (1985) Anaesthesia for surgery in a patient with a transplanted heart. Br J Anaesth 57: 634–637

    Article  PubMed  CAS  Google Scholar 

  6. Caine N, O’Brien V (1989) Quality of life and psychological aspects of heart transplantation. In: Wallwark J (ed) Heart and heart-lung transplantation. Saunders, Philadelphia, pp 389–422

    Google Scholar 

  7. Camann WR, Goldman GA, Johnson MD, Moore J, Greene M (1989) Cesarean dilevery in a patient with a transplanted heart. Anesthesiology 71: 618–620

    Article  PubMed  CAS  Google Scholar 

  8. Cameron DE, Traill TA (1990) Complications of immunosuppressive therapy. In: Baumgartner WA, Reitz BA, Achuff SC (eds) Heart and heart-lung transplantation. Saunders, Philadelphia, pp 237–248

    Google Scholar 

  9. Corcos T, Tamburino C, Leger P et al. (1988) Early and late hemodynamic evaluation after cardiac transplantation: a study of 28 cases. J Am Coll Cardiol 11: 264–269

    Article  PubMed  CAS  Google Scholar 

  10. Cirella VN, Pantuck CB, Lee YJ, Pantuck EJ (1987) Effects of cyclosporine on anesthetic action. Anesth Analg 66: 703–706

    Article  PubMed  CAS  Google Scholar 

  11. Demas K, Wyner J, Mihm FG, Samuels S (1986) Anaesthesia for heart transplantation. A retrospective study and review. Br J Anaesth 58: 1357–1364

    Google Scholar 

  12. Dretchen KL, Morgenroth VH, Standaert FG, Waits LF (1976) Azathioprine: Effects on neuromuscular transmission. Anesthesiology 45: 604–609

    Google Scholar 

  13. Eisenkraft JB, Dimich I, Sachdev VP (1981) Anesthesia for major noncardiac surgery in a patient with a transplanted heart. Mt Sinai J Med 48: 116–120

    PubMed  CAS  Google Scholar 

  14. Farge D, Julien J, Amrein C et al. (1990) Effect of systemic hypertension on renal function and left ventricular hypertrophy in heart transplant recipients. J Am Coll Cardiol 15: 1095–1101

    Article  PubMed  CAS  Google Scholar 

  15. Frist WH, Stinson EB, Oyer PE, Baldwin JC, Shumway NE (1987) Long-term hemodynamic results after cardiac transplantation. J Thorac Cardiovasc Surg 94: 685–693

    PubMed  CAS  Google Scholar 

  16. Frohlich ED, Ventura HO, Ochsner JL (1990) Arterial hypertension after orthotopic cardiac transplantation. J Am Coll Cardiol 15: 1102–1103

    Article  PubMed  CAS  Google Scholar 

  17. Gilbert EM, Eiswirth CC, Mealey PC, Larrabee P, Herrick CM, Bristow MR (1989) Beta-adrenergic supersensitivity of the transplanted human heart is presynaptic in origin. Circulation 79: 344–349

    Article  PubMed  CAS  Google Scholar 

  18. Gramstad L, Gjerlow JA, Hysing ES, Rugstad HE (1986) Interaction of cyclosporin and its solvent, cremophor, with atracurium and vecuronium. Studies in the cat. Br J Anaesth 58: 1149–1155

    Google Scholar 

  19. Grebenik CR, Robinson PN (1985) Cardiac transplantation at Harefield. A review from the anaesthesist’s standpoint. Anaesthesia 40: 131–140

    Google Scholar 

  20. Heck F, Shumway SJ, Kaye MP (1989) The registry of the International Society for Heart Transplantation: Sixth official report — 1989. J Heart Transplant 8: 271–276

    PubMed  CAS  Google Scholar 

  21. Horn JE, Bartlett JG (1990) Infectious complications following heart transplantation. In: Baumgartner WA, Reitz BA, Achuff SC (eds) Heart and heart-lung transplantation, Saunders, Philadelphia, pp 220–236

    Google Scholar 

  22. McKeown DW, Amstrong IR (1986) Anaesthesia for surgery in a patient with a transplanted heart. Br J Anaesth 58: 1200

    Article  Google Scholar 

  23. Pflugfelder PW, Purves PD, McKenzie FN, Kostuk WJ (1987) Cardiac dynamics during supine exercise in cyclosporine-treated orthotopic heart transplant recipients: Assessment by radionuclide angiography. J Am Coll Cardiol 10: 336–341

    Google Scholar 

  24. Ream AK, Fowles RE, Jamieson S (1987) Cardiac transplantation. In: Kaplan JA (ed) Cardiac anesthesia, 2nd edn. vol 2. Grune and Stratton, Orlando, pp 881–891

    Google Scholar 

  25. Stark RP, McGinn AL, Wilson RF (1991) Chest pain in cardiac-transplant recipients. Evidence of sensory reinnervation after cardiac transplantation. New Eng J Med 324: 1791–1794

    Google Scholar 

  26. Traill TA (1990) Physiology and function of the transplant allograft. In: Baumgartner WA, Reitz BA, Achuff SC (eds) Heart and heart-lung transplantation. Saunders, Philadelphia, pp 266–278

    Google Scholar 

  27. Wilson RF, Christensen BV, Olivari MT et al. (1991) Evidence of structural sympathetic reinnervation after orthotopic cardiac transplantation in humans. Circulation 83: 1210–1220

    PubMed  CAS  Google Scholar 

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Authors
  1. B. M. Weiss
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  2. E. R. Schmid
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Editors and Affiliations

  1. Institut für Anästhesiologie, Universitätsspital, Rämistraße 100, CH-8091, Zürich, Österreich

    T. Pasch  & Edith R. Schmid  & 

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© 1991 Springer-Verlag Berlin Heidelberg

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Weiss, B.M., Schmid, E.R. (1991). Anästhesiologische Besonderheiten bei Patienten nach Herztransplantation. In: Pasch, T., Schmid, E.R. (eds) Anästhesie und kardiovaskuläres System. Klinische Anästhesiologie und Intensivtherapie, vol 41. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-51139-4_23

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  • DOI: https://doi.org/10.1007/978-3-642-51139-4_23

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-54340-4

  • Online ISBN: 978-3-642-51139-4

  • eBook Packages: Springer Book Archive

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