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Long-term survival following heart transplantation is possible

查看全文 作  者:Li Junquan An Shoukuan Qiao Youjin Xia [1]Qiuming 高影响力作者 机构地区:[1]Department of Cardiovascular Surgery, the Second Affiliated Hospital, Harbin Medical University, Harbin 150086, China高影响力机构 出  处:《Journal of Medical Colleges of PLA(China)》索引2010年第25卷第3期,共7页高影响力期刊 摘  要:Objective:To determine whether long-term survival(>10 years) after heart transplantation is possible and identify complications influencing long-term survival.Methods:We analyzed clinical outcomes in the group of 21 patients who had undergone heart transplantation at the Second Affiliated Hospital of Harbin Medical University since 1992 and 4 of them survived more than 10 years.Results:Nine patients are still alive with normal left ventricular function,and 4 of them have survived more than 10 years.The longest survival patient has lived more than 18 years after transplantation,whose survival is the longest in China and in Asia.We have also found that there has been a high incidence of complications,such as rejection episodes during the first 6 months,and transplant vasculopathy in the long-term survival patients.Conclusion:Long-term survivors maintain normal hemodynamic function of their allografts,and long-term survival following cardiac transplantation is possible.Aggressive preventive and therapeutic measures are essential to limit the risk factors for development of complications such as rejection episodes and transplant vasculopathy,and enable long-term survival after cardiac transplantation. 关 键 词:心脏移植 长期存活 哈尔滨医科大学 血管病变 血流动力学 并发症 危险因素 排斥反应
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