Ortotopická transplantace srdce
| Title in English | Orthotopic heart transplantation |
|---|---|
| Authors | |
| Year of publication | 2024 |
| Type | Article in Periodical |
| Magazine / Source | Remedia |
| MU Faculty or unit | |
| Citation | |
| web | https://www.remedia.cz/rubriky/prehledy-komentare-nazory-diskuse/ortotopicka-transplantace-srdce/ |
| Keywords | orthotopic heart transplantation; immunosuppression; rejection; complications |
| Description | Orthotopic heart transplantation (OTS) is a method for patients in the terminal stage of chronic heart failure, for whom all pharmacological and non-pharmacological treatments have been used. Choosing the right patient for a heart transplant and choosing the right moment for the procedure is a very complex decision. The patient must meet the indication criteria, and must not have any contraindications. Planned endomyocardial biopsies to detect rejection are carried in the first 1-2 years after surgery. In addition, echocardiography, laboratory tests and other specialized methods are regularly performed. Coronary angiography serves to detect graft vasculopathy. The patient has to take individualized immunosuppressive treatment for the rest of his or her life despite the risk of numerous complications. However, patients after successful OTS return to a full and quality life. New technologies and procedures in the transplant program are still the subject of extensive research. |