Teknik Transplantasi Jantung

Oleh :

dr.Krisandryka

Teknik transplantasi jantung dilakukan dengan sayatan melalui sternum, mengeluarkan jantung resipien, dan menggantikannya dengan jantung donor. Selama operasi berlangsung, resipien menggunakan mesin cardiopulmonary bypass yang menggantikan fungsi jantung dan paru pasien.[6,8]

Berbeda dengan transplantasi hati atau ginjal, donor pada transplantasi jantung harus dikonfirmasi mengalami kematian otak dan perlu dipastikan memiliki kinerja hemodinamik jantung yang baik tanpa kelainan anatomis bermakna.[6,8]

Donor

Referensi

4. Peled Y, Khush KK, Kobashigawa J, et al. International Society for Heart and Lung Transplantation Guidelines for the Evaluation and Care of Cardiac Transplant Candidates. J Heart Lung Transplant. 2024;43(10):1529–1628.e54. doi:10.1016/j.healun.2024.06.003.
6. Lund LH, Edwards LB, Kucheryavaya AY, et al. The registry of the International Society for Heart and Lung Transplantation: Thirty-first adult heart transplant report—2014. J Heart Lung Transplant. 2014;33(10):996–1008.
7. Stehlik J, Edwards LB, Kucheryavaya AY, et al. The registry of the International Society for Heart and Lung Transplantation: 29th official adult heart transplant report—2012. J Heart Lung Transplant. 2012;31(10):1052–1064.
8. Kirklin JK, Young JB, McGiffin DC. Heart Transplantation. New York: Churchill Livingstone; 2002.
9. Taylor DO, Stehlik J, Edwards LB, et al. Registry of the International Society for Heart and Lung Transplantation: Twenty-seventh official adult heart transplant report—2010. J Heart Lung Transplant. 2010;29(10):1089–1103.
13. Costanzo MR, Dipchand A, Starling R, et al. The International Society of Heart and Lung Transplantation Guidelines for the care of heart transplant recipients. J Heart Lung Transplant. 2010;29(8):914–956.
15. Aaronson KD, Schwartz JS, Chen TM, et al. Development and prospective validation of a clinical index to predict survival in ambulatory patients referred for cardiac transplant evaluation. Circulation. 1997;95(12):2660–2667.
18. Zuckermann A, Wang SS, Johnson DE, et al. Immunosuppressive therapy in heart transplantation: principles and practice. Curr Opin Cardiol. 2005;20(2):129–134.
19. Lund LH, Edwards LB, Kucheryavaya AY, et al. The registry of the International Society for Heart and Lung Transplantation: Thirty-second official adult heart transplant report—2015. J Heart Lung Transplant. 2015;34(10):1244–1254.
20. Khush KK, Cherikh WS, Chambers DC, et al. The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation: 37th adult heart transplant report—2020. J Heart Lung Transplant. 2020;39(10):1003–1024.

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