PubMed · 967068
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D E Harken. Counterpulsation.. https://pubmed.ncbi.nlm.nih.gov/967068/
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This paper is about the alternatives of curing the drug-refractory heart failure with the exception of cardiac transplantation. It includes even the newest methods mostly being in the phase of animal experiment in the meantime. The authors give a review on the different possibilities of skeletal muscle autotransplantation for cardiac support, such as cardiomyoplasty which has already been done in Hungary too, externally powered mechanical devices for long-term support, molecular and cellular cardiomyoplasty. The partial ventriculectomy and transmyocardial laser revascularization are mentioned as well. Although, most part of the enumerated procedures is not available in Hungary at this time, they are expected to enter the arsenal of medicine in the future.
Orthotopic cardiac transplantation is an established treatment for terminal cardiac diseases. The organization of the operation closely depends on the successful team work between cardiologists, selecting the proper patients for this procedure, the anesthesiologists taking care of the multiorgan donor and the cardiac surgeons managing in parallel the donor and the recipient. Accurate donor evaluation and treatment are essential for a perfect graft function immediately after transplantation. Orthotopic heart transplantation can also be offered as a therapeutical option in adolescents presenting with end-stage heart failure due to complex congenital heart disease and who have sustained multiple previous operations. In this paper, some special logistic and technical particularities of cardiac transplantation are presented and discussed.