Castro P F, Bourge R C, Jalil J E, Martínez J A
Departamento de Enfermedades Cardiovasculares, Hospital Clínico Universidad Católica de Chile.
Rev Esp Cardiol. 1999 Aug;52(8):604-16.
Cardiac transplantation is now a well-accepted therapy for patients with advanced heart failure. In appropriately selected recipients, it has shown to significantly improve the survival and quality of life. The shortage of appropriate cardiac donor hearts, the costs of cardiac transplantation and its associated long-term medical follow-up, and the potential morbidity and mortality associated with the procedure and with life after transplantation mandates the judicious application of cardiac transplantation to appropriate recipients. A review of current indications, contraindications and evaluation of patients for cardiac transplantation is presented.
心脏移植目前已成为晚期心力衰竭患者广泛接受的一种治疗方法。在经过适当选择的受者中，心脏移植已显示出能显著提高生存率和生活质量。合适的心脏供体心脏短缺、心脏移植的费用及其相关的长期医学随访，以及与该手术和移植后生活相关的潜在发病率和死亡率，都要求谨慎地将心脏移植应用于合适的受者。本文对目前心脏移植的适应证、禁忌证及患者评估进行综述。
