Heart Transplantation

The number of heart transplant procedures has exploded in the mid-1980s, making heart transplantation a well-established and standardized procedure today. Because of the shortage of organ donors, this increase has now reached a plateau. The one-year survival rate is currently > 80%, with most survivors returning to a fairly normal active lifestyle. One of the main concerns for the anesthesiologist is to get the patient safely onto cardiopulmonary bypass without further damage to any of the other essential organs.

Preoperative Evaluation

Most candidates for heart transplantation have end-stage cardiac failure as a consequence of ischemic or idiopathic cardiomyopathy. Other indications for heart

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