ABSTRACT
At present non-cardiac surgery is infrequent in patients survived after heart transplantations. The authors review specific features of general anesthesia in such a clinical situation on the basis of their own two clinical observations and literature data. The principles for the anesthesiological management are analysed. They are specific sterility rules, atypical mechanisms of cardio-vascular system adaptation to stress and peculiar reaction of a denervated heart to pharmacological agents.
Subject(s)
Abortion, Therapeutic , Anesthesia, General , Heart Transplantation , Peptic Ulcer Hemorrhage/surgery , Adult , Female , Humans , PregnancySubject(s)
Aortic Valve Stenosis/surgery , Coronary Disease/surgery , Intra-Aortic Balloon Pumping , Adult , Humans , Male , Middle AgedABSTRACT
The article gives the analysis of the authors' experience in developing the systems of mechanical maintenance of blood circulation: AvIK-9M, Sinus-BK, and the cylinder pump with an additional distal chamber, which has not only high hemodynamic efficiency but also, to a considerable extent, improves the bioenergetics of the myocardium. It also gives a detailed description of the device for the retrograde counterpulsation and periodic occlusion of the coronary sinus. All the systems have successfully undergone testing by experiment and in the clinic.