Transcript of HEART TRANSPLANT HEART TRANSPLANT ГБОУ СПО НСО «Искитимский...
- Slide 1
- HEART TRANSPLANT HEART TRANSPLANT : ., . (.196) : .. 2011
- Slide 2
- Transplantation of the heart is a surgical operation on
replacement of the heart of a donor or an artificial heart to a
patient`s body. They are hold in connection with severe diseases of
the heart. The patient`s own heart can be removed or left.
Transplantation of the heart is a surgical operation on replacement
of the heart of a donor or an artificial heart to a patient`s body.
They are hold in connection with severe diseases of the heart. The
patient`s own heart can be removed or left.
- Slide 3
- Experiments on animals to transplant a heart started since 1905
but for a long time it was impossible to implement grafting of a
heart : the newly transplanted heart did not get accustomed, as
well as the body defended themselves against the alien cells and
proteins (by the way, this problem occurs at change of any organs
and tissues). Experiments on animals to transplant a heart started
since 1905 but for a long time it was impossible to implement
grafting of a heart : the newly transplanted heart did not get
accustomed, as well as the body defended themselves against the
alien cells and proteins (by the way, this problem occurs at change
of any organs and tissues).
- Slide 4
- The first heart transplantation on an animal was made in 1964
by James Hardy. The patient was living for an hour and a half.
- Slide 5
- And now for the first time in 1967 in South AFRICA Christian
Bernard produced a heart transplantation, having taken the heart
from the corpse to a sick man. And now for the first time in 1967
in South AFRICA Christian Bernard produced a heart transplantation,
having taken the heart from the corpse to a sick man.
- Slide 6
- The operation passed technically brilliantly, but the patient
with a transplanted heart lived only for 18 days. After a month
Bernard repeated an operation on the second patient: the heart
functioned for 18 months. In 1974 Bernard transplanted a heart, who
worked closely to the heart of the donor. The operation passed
technically brilliantly, but the patient with a transplanted heart
lived only for 18 days. After a month Bernard repeated an operation
on the second patient: the heart functioned for 18 months. In 1974
Bernard transplanted a heart, who worked closely to the heart of
the donor.
- Slide 7
- All these operations gave a powerful impetus to the development
of transplantology, and pure surgical approaches have been largely
resolved, but incompatibility of issues tissue of a donor and a
recipient caused great difficulties.
- Slide 8
- On December 3, 1967 the first in the history of medicine an
operation on a heart transplantation was held in the hospital Groot
Jester, Cape town (South Africa). On December 3, 1967 the first in
the history of medicine an operation on a heart transplantation was
held in the hospital Groot Jester, Cape town (South Africa). It was
held by professor Christian Barnard, a heart was transplanted to a
55- year -old patient from a fatally wounded 25- year-old
woman.
- Slide 9
- It was not simply a sensation and an event of the year.
Deciding on the transplantation of the heart of a man, Barnard
opened a new page in the history of medicine. Then Barnard was a
little more than 35 years of age, but he was absolutely confident
in its success.
- Slide 10
- The first successful transplantation of the body organs was
kidney transplantation in 1967.
- Slide 11
- Elated by successful results and absolutely sure in favorable
outcome and more serious transplantation, Barnard was looking for
patients willing to heart transplantation. It was not long to wait.
A 55-year-old patient Luis Vashanskii diabetic- agreed to become a
guinea pig. By that time he had three heart attacks. Several times
Barnard had already transplanted the heart of the animal. Morally
he was ready for operations on the man and waited for a suitable
donor.
- Slide 12
- In the night from 2 to 3 December 1967, in a car crash a young
woman of 25 years old was fatally wounded. Her blood group
coincided with the patient waiting for the transplantation, and the
victim's father gave his consent to the heart transplantation. In
the night from 2 to 3 December 1967, in a car crash a young woman
of 25 years old was fatally wounded. Her blood group coincided with
the patient waiting for the transplantation, and the victim's
father gave his consent to the heart transplantation.
- Slide 13
- A unique operation has passed in the night without a picture,
therefore evidence of it survived only in the memories of
eyewitnesses. The operation began in the night and was completed
only by 8 a.m. The operation was successful, and after few days the
patient was allowed to get up from the bed and even
photographed.
- Slide 14
- Unfortunately the disaster came a powerful dose of medicines,
which introduced to the patient, suppressed immune system of the
patient. Few days after the operation he picaught a serious
inflammation of the lungs and died after 18 days from
pneumonia.
- Slide 15
- Then many people reproached Barnard_in haste and expressed
their doubts in the possibility of successful heart transplants.
But Barnard continued to work, in spite of criticism and failure.
And already the second transplantation was an undoubted success -
the patient lived with a new heart for nineteen months! Then many
people reproached Barnard_in haste and expressed their doubts in
the possibility of successful heart transplants. But Barnard
continued to work, in spite of criticism and failure. And already
the second transplantation was an undoubted success - the patient
lived with a new heart for nineteen months!
- Slide 16
- For the forty years passed since the first operation, the
surgeons advanced well in the issues of transplantation of the
heart, and this helps them not only master the technique of
operations (recently they managed to transplant a heart), but also
they achieved a serious success in immunology and medical
technicians. For the forty years passed since the first operation,
the surgeons advanced well in the issues of transplantation of the
heart, and this helps them not only master the technique of
operations (recently they managed to transplant a heart), but also
they achieved a serious success in immunology and medical
technicians.
- Slide 17
- By the way, the first successful operation on transplantation
of a donor`s heart was made in the Soviet Union in 1987 by an
outstanding Russian surgeon Valery Shumakov. By the way, the first
successful operation on transplantation of a donor`s heart was made
in the Soviet Union in 1987 by an outstanding Russian surgeon
Valery Shumakov. Today, this transaction has already been developed
in many specialized centers and become a quite routine - in the
year they make about eight hundred operations, and more than
seventy percent of them are lucky. Today, this transaction has
already been developed in many specialized centers and become a
quite routine - in the year they make about eight hundred
operations, and more than seventy percent of them are lucky.
- Slide 18
- The world record on duration of life with a transplanted heart
keeps Tony Huzman - he lived with a transplanted heart for more
than 30 years and died from a skin cancer. The world record on
duration of life with a transplanted heart keeps Tony Huzman - he
lived with a transplanted heart for more than 30 years and died
from a skin cancer. The main problem for these patients - rejection
of the transplanted organ of the immune system. Transplantation of
artificial hearts or animal hearts are not so fortunate, as the
transplantation of human hearts.
- Slide 19
- The end