[General anesthesia in non-cardiac surgery in patients with transplanted hearts]. / Obshchaia anesteziia pri nekardiokhirurgicheskikh vmeshatel'stvakh u bol'nykh s transplantirovannym serdtsem.

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.

[Clinical experience of anesthesia management in heart transplantation]. / Klinicheskii opyt anesteziologicheskogo obespecheniia transplantatsii serdtsa.

An experience is described of anesthesiological management of orthotopic heart transplantations performed to 22 males aged 16 to 54 years and 5 females aged 27 to 43 years with dilation cardiomyopathy (20 cases), ischemic heart disease (5 cases), Abramov-Fiedler myocarditis (1 case) and the combination of the aortic valve defect with ischemic heart disease (1 case). Techniques of anesthesiological management in recipients and donors are described. The period necessary for the recovery of the donor heart function is characterized and cardiotropic transplant support is described. Specific clinical course of the anesthesia depending on the pulmonary artery pressure, the type of general anesthesia used in recipients and the use of catecholamines for hemodynamic maintenance in donors during heart excision have been analysed.

[Experimental and clinical use of artificial heart ventricles]. / Primenenie iskusstvennykh zheludochkov serdtsa v éksperimente i klinike.

The paper sums up experience with the development of a domestic system for auxiliary circulation and a module-type artificial ventricle, and presents the results of their experimental trial and first-ever clinical use in patients with severe heart failure following open-heart surgery. Good operational characteristics and high efficiency of this equipment in clinical as well as experimental terms are demonstrated.