Kozlov I A, Pilaeva I E, Gruzdev Iu K, Papin A A, Rostunova N V
Anesteziol Reanimatol. 1990 May-Jun(3):3-9.
An experience is described of anesthesiological management of orthotopic heart transplantations performed to 22 males aged 16 to 54 years and 5 females aged 27 to 43 years with dilation cardiomyopathy (20 cases), ischemic heart disease (5 cases), Abramov-Fiedler myocarditis (1 case) and the combination of the aortic valve defect with ischemic heart disease (1 case). Techniques of anesthesiological management in recipients and donors are described. The period necessary for the recovery of the donor heart function is characterized and cardiotropic transplant support is described. Specific clinical course of the anesthesia depending on the pulmonary artery pressure, the type of general anesthesia used in recipients and the use of catecholamines for hemodynamic maintenance in donors during heart excision have been analysed.
本文描述了对22名年龄在16至54岁的男性和5名年龄在27至43岁的女性进行原位心脏移植的麻醉管理经验，这些患者患有扩张型心肌病（20例）、缺血性心脏病（5例）、阿布拉莫夫 - 菲德勒心肌炎（1例）以及主动脉瓣缺损合并缺血性心脏病（1例）。文中介绍了受体和供体的麻醉管理技术。描述了供体心脏功能恢复所需的时间，并阐述了心脏移植支持。分析了根据肺动脉压、受体使用的全身麻醉类型以及在心脏切除术中供体使用儿茶酚胺维持血流动力学情况下麻醉的具体临床过程。
