title: [Postoperative complications after orthotopic heart transplantation].
abstract: We analysed postoperative complications in 106 patients after orthotopic heart transplantation based on the results of prospective observations during 2 year follow-up. Survival was estimated at 83% (88 patients). Deaths were caused by pyoseptic complications, pulmonary thromboembolism, acute pancreatitis, cardiac arrhythmia or transplant rejection due to non-compliance with the immunotherapeutic regime. The most frequent causes of deaths were pneumonia (28.3%), transplant rejection (11.3%), steroid-induced diabetes (14.6%). It is concluded that heart transplantation should be followed by thorough observation of the patients based at a specialized multi-field clinic to ensure continuous treatment and reduce lethality. Risk factors of unfavourable prognosis of heart transplantation are identified.
authors.forename: E D
authors.initials: ED
authors.lastname: Kosmacheva
authors.forename: N V
authors.initials: NV
authors.lastname: Kizhvatova
authors.forename: E V
authors.initials: EV
authors.lastname: Gordeeva
authors.forename: M R
authors.initials: MR
authors.lastname: Bakhchoian
authors.forename: K O
authors.initials: KO
authors.lastname: Barbukhatti
authors.forename: V A
authors.initials: VA
authors.lastname: Porkhanov
authors.forename: E D
authors.initials: ED
authors.lastname: Aleksandrova
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006331:Heart Diseases / Q000097:blood / Q000601:surgery / Q000652:urine; D016027:Heart Transplantation / Q000009:adverse effects* / Q000401:mortality; D006801:Humans; D007167:Immunotherapy / Q000009:adverse effects; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D011379:Prognosis; D012307:Risk Factors; D016896:Treatment Outcome