Heart transplantation contraindications: Difference between revisions
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{{Heart transplantation}} | |||
'''Editor(s)-in-Chief:''' [[C. Michael Gibson, M.S., M.D.]]; '''Associate Editor-In-Chief:''' {{CZ}} | '''Editor(s)-in-Chief:''' [[C. Michael Gibson, M.S., M.D.]]; '''Associate Editor-In-Chief:''' {{CZ}} | ||
==Contraindications== | ==Contraindications== | ||
===Underlying myocardial disease=== | ===Underlying myocardial disease=== | ||
Underlying etiologies of myocardial disease which are contraindications are: | *Underlying etiologies of myocardial disease which are contraindications are: | ||
*[[Amyloid]] | :*[[Amyloid]] | ||
*[[HIV]] | :*[[HIV]] | ||
*Cardiac [[sarcoma]]. | :*Cardiac [[sarcoma]]. | ||
===Co-morbid or associated conditions=== | ===Co-morbid or associated conditions=== | ||
Some patients are less suitable for a heart transplant, especially if they suffer from other circulatory conditions unrelated to the heart. The following conditions in a patient would increase the chances of [[complication (medicine)|complications]] occurring during or after the operation: | *Some patients are less suitable for a heart transplant, especially if they suffer from other circulatory conditions unrelated to the heart. The following conditions in a patient would increase the chances of [[complication (medicine)|complications]] occurring during or after the operation: | ||
*[[Kidney]], [[lung]], or [[liver]] disease | |||
*Insulin-dependent [[diabetes]] with other organ dysfunction | :*[[Kidney]], [[lung]], or [[liver]] disease | ||
*Life-threatening diseases unrelated to [[heart failure]] such as cancer that would severely limit life expectancy | :*Insulin-dependent [[diabetes]] with other organ dysfunction | ||
*[[Vascular disease]] of the neck and leg arteries. | :*Life-threatening diseases unrelated to [[heart failure]] such as cancer that would severely limit life expectancy | ||
*An ongoing acute infection | :*[[Vascular disease]] of the neck and leg arteries. | ||
*A recurrent pulmonary infection | :*An ongoing acute infection | ||
*[[Alcohol]], [[tobacco]] or drug abuse | :*A recurrent pulmonary infection | ||
*Severe lung disease such as [[chronic obstructive pulmonary disease]] | :*[[Alcohol]], [[tobacco]] or drug abuse | ||
*Morbid [[obesity]] | :*Severe lung disease such as [[chronic obstructive pulmonary disease]] | ||
*[[ABO]] incompatibility | :*Morbid [[obesity]] | ||
:*[[ABO]] incompatibility | |||
==References== | ==References== |
Revision as of 04:46, 8 April 2012
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Editor(s)-in-Chief: C. Michael Gibson, M.S., M.D.; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [1]
Contraindications
Underlying myocardial disease
- Underlying etiologies of myocardial disease which are contraindications are:
Co-morbid or associated conditions
- Some patients are less suitable for a heart transplant, especially if they suffer from other circulatory conditions unrelated to the heart. The following conditions in a patient would increase the chances of complications occurring during or after the operation:
- Kidney, lung, or liver disease
- Insulin-dependent diabetes with other organ dysfunction
- Life-threatening diseases unrelated to heart failure such as cancer that would severely limit life expectancy
- Vascular disease of the neck and leg arteries.
- An ongoing acute infection
- A recurrent pulmonary infection
- Alcohol, tobacco or drug abuse
- Severe lung disease such as chronic obstructive pulmonary disease
- Morbid obesity
- ABO incompatibility