Rapports de cas en chirurgie et procédures invasives


Is previous heart surgery a risk factor for heart-lungtransplantation

Lale Hakami

 Since the 1980s, heart-lung transplantation has been a compelling technique for the treatment of cardiopneumonic sicknesses. Heart-lung transplantation is frequently the last decision to drag out the life or improve the personal satisfaction of patients with complex inborn coronary illness (CCHD) with "Eisenmenger-response" and aspiratory blood vessel hypertension. Particularly in patients with CCHD, who experienced past tasks (bunch An) and with no past activity in bunch B and were in end stage cardiopulmonary disappointment. Strategies: The investigation inspected 51 patients, who were heartlung relocated in our medical clinic. We looked at the patients into two gatherings: Group I in kids more youthful than 18 years and Group II in grown-ups more seasoned than 18 years. Specific postoperative boundaries were gathered by the examination of records. Utilizing the Chi-square test the criticalness of the outcomes was appeared. Endurance is appeared in Kaplan Meier bends and checked with the Log-Rank test. Results: Among the 51 patients, there are 17 kids and 34 grown-ups. In the grown-up populace, the frequency of innate coronary illness is prevailing. In the youngsters test, there are additionally patients with aspiratory blood vessel hypertension. Fifteen with CCHD were in bunch A, (4 kids and 11 grown-ups). The general endurance of the patients with a past activity was 0.16 years in the middle. The endurance of gathering B was in the middle 8.03 years (p-esteem: 0.027). Six of the 15 gathering A passed on inside the initial 30 years. In the gathering B, four out of 36 passed on (p-esteem: 0.018). Conversation: In the Chi-square test, an essentially higher 30-day death rate for the patients with past activity. From one perspective, this could be brought about by convoluted life structures and solid bonds