HEART TRANSPLANT HEART TRANSPLANT ГБОУ СПО НСО «Искитимский...

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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