[Postoperative monitor of hemodynamics of orthotopic heart transplantation and treatment of its disorders].
OBJECTIVE
To study the postoperative hemodynamics after heart transplantation and treatment for disorders due to denervated transplanted hearts in order to improve the short term outcome of heart transplantation.


METHODS
Forty one patients with endstage cardiopathy underwent orthotopic cardiac transplantation. The changes in the graft function were closely monitored during the postoperative period in order to maintain the stability of hemodynamics of the allografts.


RESULTS
All recipients received vasoactive drug therapy and 6 recipients died of acute dysfunction of the right ventricle of the allograft during the postoperative period. The remaining patients survived well and led a life with rather good quality.


CONCLUSIONS
The hemodynamic characteristics of a denervated grafted heart are unique. Close monitoring and good nursing care with rational administration of vasoactive drugs are the key measures for the prevention of acute dysfunction of the allograft in the early postoperative period.
Huang
Xue-shan
XS
Department of Cardiac Surgery, Union Hospital, Fujian Medical University, Fuzhou 350001, Fujian, China. drhxs@163.com
Chen
Dao-zhong
DZ
Chen
Liang-wan
LW
Lin
Feng
F
Huang
Zhong-yao
ZY
Qiu
Han-fan
HF
Wu
Xi-jie
XJ
Weng
Qin-yong
QY
D000293:Adolescent; D000328:Adult; D005260:Female; D006085:Graft Survival; D016027:Heart Transplantation / Q000502:physiology*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D011184:Postoperative Period; D011379:Prognosis; D016896:Treatment Outcome; D055815:Young Adult