Herz- und Herz-Lungen-Transplantation

  • D. Birnbaum

Zusammenfassung

Vor 20 Jahren wurde in Cape Town/Südafrika das erste menschliche Herz verpflanzt. Danach war zunächst weltweit ein Trend zu dieser neuen Methode zu beobachten. Die Ergebnisse ließen aber die optimistischen Erwartungen hinter sich zurück, und nur wenige Zentren haben sich dann konsequent dem Organersatz bei Patienten mit terminaler Herzerkrankung gewidmet, allen voran die Gruppe um Norman Shumway in Stanford/USA. Verfeinerungen der Technik und besonders des postoperativen Management einerseits und die Entwicklung eines neuen Immunsuppressivums (Cyclosporin A) andererseits haben das Interesse erneuert und sehr rasch weitere Zentren ermutigt, die Herztransplantation heute in das chirurgische Routineprogramm aufzunehmen.

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© Springer-Verlag Berlin Heidelberg 1989

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  • D. Birnbaum

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