Cardiac transplantation

Cardiac transplantation is performed for terminal heart disease in patients less than 55 years of age when the estimated life expectancy would be 6-12 months. The two major indications for cardiac transplantation are idiopathic cardiomyopathy and ischemic heart disease with left ventricular failure. The heart is placed orthotropically in the chest after removing the recipient's heart but leaving the back wall of the right and left atria with the atrial septum to which the appropriate part of the donor atria is anastomosed followed by the pulmonary artery and aortic anastomoses. The results of cardiac transplantation are very similar now to those of the kidney with around 80% 1-year graft survival and 60% at 5 years. Chronic rejection manifest by coronary atherosclerosis is a major problem in the medium term for many patients.

Your Heart and Nutrition

Your Heart and Nutrition

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