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ORIGINAL ARTICLE

Early postoperative care of heart transplantation

Alfredo I FiorelliI; Noedir A. G StolfI

DOI: 10.1590/S0102-76381996000100007

ABSTRACT

The authors describe principal aspects involved in early postoperative period of heart transplantation, to emphasize: postoperative monitoring, hemodynamic evaluation, arrhythmias, fluid management, gastrointestinal system, renal system, ventilatory support, antibiotic prophylaxis, infection, immunosuppression, and rejection.

RESUMO

Os autores discutem os principais aspectos envolvidos no pós-operatório imediato do transplante cardíaco, ressaltando: monitorização pós-operatória, evolução hemodinâmica, arritimias, controle hidroeletrolítico, alterações gastrintestinais, função renal, suporte ventilatório, antibioticoprofilaxia, infecção, imunossupressão e as rejeições.
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REFERENCES

1. ARMITAGE, J. M.; FRICKER, F. J.; del NIDO, P. - A decade (1982-1992) of pediatric cardiac transplantation and the impact of FK506 immunosuppression. J. Thorac. Cardiovasc. Surg., 105: 464-473, 1993.

2. AULER, J. O. C.; CARMONA, M. J.; BOCCHI, E.; BACAL, F.; FIORELLI, A. I.; STOLF, N. A. G.; JATENE, A. D. - Low doses of inhaled nitric oxide in patients submitted to heart transplantations. J. Heart Lung Transplant. (no prelo) [MedLine]

3. BHATIA, S. J.; KIRSHENBAUN, J. M.; SHEMIN, R. J.; COHN, L. H.; COLLINS, J. J.; DI SESA, V. J.; YOUNG, P. J.; MUDGE, Jr. G. H. ; SUTTON, M. G. - Time course of resolution of pulmonary hypertension and right ventricular remodeling after orthotopic cardiac transplantation. Circulation, 76: 819-826, 1987. [MedLine]

4. BILLINGHAM, M. E.; CARY, N. R. B.; HAMMOND, M. E.; KEMNITZ, J.; MARBOE, C.; McCALLISTER, H. A.; SNOVAR, D. C.; WINTERS, G. L.; ZERBE, A. - A working formulation for the standardization of nomenclature in the diagnosis of heart and lung rejection: heart rejection study group. J. Heart Transplant, 9: 587-601, 1990.

5. BOLLING, S. F.; PUTNAM Jr., J. B.; ABRAMS, G. D.; McKAY, A. M.; DEEB, G. M. - Hemodinamics versus biopsy findings during cardiac transplant rejection. Ann. Thorac. Surg., 51: 52-55, 1991. [MedLine]

6. CAVES, P. K.; BILLINGHAM, M. E.; STINSON, E. B.; SHUMWAY, N. E. - Serial transvenous biopsy of the transplanted human heart: improved management of acute rejection episodes. Lancet, 2: 821, 1974. [MedLine]

7. DAWKINS, K. D.; OLDERSHAW, P. J.; BILLINGHAM, M. E.; HUNT, S. A.; OYER, P. E.; JAMIESON, S. W.; POPP, R. L.; STINSON, E. B.; SHUMWAY, N. E. - Changes in diastolic function as a noninvasive marker of cardiac allograft rejection. Heart Transplant, 3: 286-294, 1984.

8. FIORELLI, A. I. - Contribuição ao estudo da função do ventrículo esquerdo no pós-operatório de transplante cardíaco. São Paulo, 1992, [Tese. Doutorado. Faculdade de Medicina da Universidade de São Paulo].

9. FIORELLI, A. I.; STOLF, N. A. G.; MULINARI, L.; SABINO NETO, A.; MOREIRA, L. F. P.; AULER Jr., J. O.; BOCCHI, E.; SEFERIAN Jr., P.; MORAES, A.; JATENE, A. D. - Circulação assistida em disfunções de ventrículo direito após transplante cardíaco. In: Congresso Latino-Americano de Transplantes, 6., Porto Alegre, 1991. Resumo dos trabalhos. Porto Alegre, 1991. p. 17.

10. FORSTER, T.; McGHIE, J.; RIJSTERBORGH, H.; VAN DE BORDEN, S.; LAIRD-MEETER, K.; BALK, A.; ESSED, C.; ROELANDT, J. - Can we assess the changes of ventricular filling resulting from acute allograft rejection with Doppler echocardiography? J. Heart Transplant, 7: 430-434, 1988. [MedLine]

11. GRATTAN, M. T.; MORENO-CABRAL, C. E.; STARNES, V. A.; OYER, P. E.; STINSON, E. B.; SHUMWAY, N. E. - Eight-year results of cyclosporine treated patients with cardiac transplants. J. Thorac. Cardiovasc. Surg., 99: 500-509, 1990. [MedLine]

12. JENSEN, N. K.; RICKSTEN, S. E.; STERQUIST, O.; BERGLE, C. H.; LINDELOV, B.; WENNMALM, A.; WAAGSTEIN, F.; LUDIN, J. - Inhaled nitric oxide in the evaluation of heart transplantation candidates with elevated pulmonary vascular resistence. J. Heart Lung Transplant, 13: 366-375, 1994. [MedLine]

13. KIRKLIN, J. K.; NAFTEL, D. C.; KIRKLIN, J. W.; BLASKSTONE, E. H.; WILLIANS, C. W.; BOUGER, R. C. - Pulmonary vascular resistance and the risk of heart transplantation. J. Heart Transplant, 7: 331-336, 1988. [MedLine]

14. McGREGOR, C. G. A.; JAMIESON, S. W.; OYER, P. E. - Heart transplantation at Stanford University. Heart Transplant, 4: 30, 1984.

15. MILLER, L. W.; NAFTAL, D. C.; BOURGE, R. C.; KIRKLIN, J. K.; BROZENA, J. C.; JARCHO, J.; HOBBS, R. E.; MILLS, R. M. - Infection after heart transplantation: a multiinstitutional story. J. Heart Lung Transplant, 13: 381-393, 1994.

16. MYERS, B. D.; ROSS, J.; NEWTON, L.; LUETSCHER, J.; PERLROTH, M. - Cyclosporine associated chronic nephropathy. N. Engl. J. Med., 311, 699-705, 1984. [MedLine]

17. OAKS, T. E.; PAE, W. E.; MILLER, C. A.; PIERCE, W. S. - Combined registry for the clinical use of mechanical ventricular assist pumps and the total artificial heart in conjunction with heart transplantation. Fifth official report - 1990. J. Heart Lung Transplant., 10: 621-625, 1991. [MedLine]

18. PASCUAL, J. M. S.; FIORELLI, A. I.; BELLOTTI, G. M.; STOLF, N. A. G.; JATENE, A. D. - Prostacyclin in the management of pulmonary hypertension after heart transplantation. J. Heart Transplant., 9: 644-651, 1990. [MedLine]

Article receive on Thursday, February 1, 1996

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