Heterotopic Heart Transplantation as a Left Ventricular Biological Assistance: a New Two-Stage Method Proposal
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Citações na Scopus
4
Tipo de produção
article
Data de publicação
2020
Título da Revista
ISSN da Revista
Título do Volume
Editora
SOC BRASIL CIRURGIA CARDIOVASC
Autores
GAIOTTO, Fabio Antonio
BARBOSA FILHO, Antonio Carlos de Almeida
Citação
BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY, v.35, n.6, p.986-989, 2020
Resumo
Since Barnard's first heterotopic heart transplant in 1974, Copeland's method has been the greatest contribution to heterotopic transplants but has the drawback of donor's right ventricular atrophy. This new method proposes a modification in the anastomosis of the superior vena cava aiming to pre-serve donor's right ventricular function by decompressing the pulmonary territory and reducing the pulmonary arterial pressure, as a biological ventricular assist device. Finally, a second intervention is proposed, where a ""twist"" is performed to place the donor's heart in an orthotopic position after re-moval of the native heart. A pioneering research on this method received approval from the ethics committee of the Heart Institute of Sao Paulo. We believe that this method has the potential to im-prove quality of life in a selected group of patients.
Palavras-chave
Heart-Assist Devices, Vena Cava, Superior, Ventricular Functional, Right, Quality of Life, Heart Transplantation, Ethics Committees, Atrophy
Referências
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