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Transplante cardiopulmonar: experiência clínica inicial / Heart-lung transplantation: initial clinical experience
Silva, José Pedro da; Vila, José Henrique de Andrade; Cascudo, Marcelo Matos; Baumgratz, José Francisco; Gauze Filho, Theófilo; Deininger, Maurílio Onofre; Carvalho, Nathalia Barbosa; Tangari Júnior, Américo; Leite, Weverton Ferreira; Wafae Filho, Mohamed.
Afiliação
  • Silva, José Pedro da; s.af
  • Vila, José Henrique de Andrade; s.af
  • Cascudo, Marcelo Matos; s.af
  • Baumgratz, José Francisco; s.af
  • Gauze Filho, Theófilo; s.af
  • Deininger, Maurílio Onofre; s.af
  • Carvalho, Nathalia Barbosa; s.af
  • Tangari Júnior, Américo; s.af
  • Leite, Weverton Ferreira; s.af
  • Wafae Filho, Mohamed; s.af
Arq. bras. cardiol ; 57(2): 103-108, ago. 1991. ilus, tab
Artigo em Português | LILACS | ID: lil-107930
Biblioteca responsável: BR1.1
ABSTRACT
Purpose To assess this initial clinical experience with heart-lung transplantation in Brazil. Methods Four patients underwent heartlung transplantation from December 1988 to March 1990, one patient with cardiomyopathy and high pulmonary resistance, two patiens with primary pulmonary hypertension and another with pulmonry silicosis. The heart lung blocks were harvestedfrom the donor using cardiopulmonary bypass and deep hypotermia. They were transplanted to the recipient by anastomosing the tracheae, right atrium or venae cavae, and the ascending aorta. Results The second patient died on the 5th postoperative day due to respiratory insuffciency with consequent brain lesions. The first and third patients had survived nine manths and 42 days respectively. The 4th patients is assymptomatic eight months after the operation. The main complications were bleeding in two patients, acute pulmonary rejection in three of them and obliterans bronchiolitis in one patients. Conclusion The heart lung transplantation is a challenging procedure which results are progressively improving with the development of better surgical technique and clinical concepts.
Assuntos

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Transplante de Coração-Pulmão País/Região como assunto: América do Sul / Brasil Idioma: Português Revista: Arq. bras. cardiol Assunto da revista: Cardiologia Ano de publicação: 1991 Tipo de documento: Artigo
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Transplante de Coração-Pulmão País/Região como assunto: América do Sul / Brasil Idioma: Português Revista: Arq. bras. cardiol Assunto da revista: Cardiologia Ano de publicação: 1991 Tipo de documento: Artigo
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