Oztürk A Hakan, Kurtoğlu Zeliha, Tuncel Mürvet, Uluutku Haluk, Aktekin Mustafa, Camdeviren Handan
Department of Anatomy, Mersin University Faculty of Medicine, Mersin, Turkey.
Turk J Pediatr. 2002 Oct-Dec;44(4):330-3.
When heart transplantation is needed in newborns, brain death should be confirmed, and the heart should not be exposed to hypoxia. The anencephalic newborn has been presented as a donor in heart transplantation. It is important, therefore, to evaluate possible morphological differences in the hearts of anencephalic cases. In this study, muscle fibers were studied in 10 anencephalic and 10 normal fetuses (27-35 weeks) and the results were compared. Random samples were taken from the upper 1/3 of the right ventricle's posterior wall and processed for light microscopic examination. Thicknesses of the 100 myocardial muscle fibers for each fetus were evaluated. There was statistically no significant difference between the anencephalic and normal fetus groups and the sex groups. Morphological features of the transplant probably affects the performance of the heart after operation. The anencephalic fetuses could be unique donors for heart transplantation.
当新生儿需要进行心脏移植时,应确认脑死亡,且心脏不应暴露于缺氧环境。无脑儿新生儿曾被作为心脏移植的供体。因此,评估无脑儿病例心脏可能存在的形态学差异很重要。在本研究中,对10例无脑儿胎儿和10例正常胎儿(孕27 - 35周)的心肌纤维进行了研究,并比较了结果。从右心室后壁上1/3处随机取样,进行光镜检查。评估每个胎儿100条心肌纤维的厚度。无脑儿组与正常胎儿组以及不同性别组之间在统计学上无显著差异。移植心脏的形态特征可能会影响术后心脏的功能。无脑儿胎儿可能是心脏移植的独特供体。