[Heart transplant in Monterrey, Nuevo León].
Heart failure constantly increases its incidence and prevalence in our society, it was imperative to start a heart transplant program to improve the survival rates of patients with end stages of the disease. Legal issues made impossible to transplant patients out of Mexico City until recent years. Even with an acute hemodynamic and clinic improvement after the transplant, these patients frequently develop complications such as graft rejection or opportunistic infections due to the immunosuppressive schemes increasing the morbidity and mortality of the procedure. In the present article we report the experience acquired with 65 heart transplant patients from 4 transplant programs in Monterrey, Nuevo Leon, one of them from the socialized system and the other three from private hospitals. Our program not only has successfully transplanted patients with advanced age but, for the first time in Latin America we have transplanted patients assisted with the ambulatory Thoratec TLC II system. Even that we have faced obstacles like a newly started donation culture in our population and limited resources, our patient's survival rate push us to continue working with these very ill population.
Unidades y Programa de Trasplantes, UMAE 34, IMSS, México. eduardoherreragarza@gmail.com
Eduardo Heberto
EH
Herrera-Garza
Julio David
JD
Molina-Gamboa
Oscar Alejandro
OA
Ortega-Durán
Uriel
U
Chavarria-Martánez
Héctor David
HD
Martínez-Chapa
Luis Angel
LA
Elizondo-Sifuentes
Felipe de Jesús
Fde J
De-La-fuente-Magallanes
Arturo
A
Muñiz-García
Horacio
H
Decanini-Arcaute
Marcos
M
Ibarra-Flores
Alfredo
A
Nacoud-Askar
José Luis
JL
Herrera-Garza
Guillermo
G
Torre-Amionet
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D016027:Heart Transplantation / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D055815:Young Adult