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  • Print publication year: 2011
  • Online publication date: September 2011

Chapter 6 - Recipient selection

from Section 2 - Heart

Summary

Transplantation of organs represents the pinnacle of medical achievement in so many different ways. This chapter presents historical perspectives of organ transplantation such as abdominal organ transplantation, cardiothoracic transplantation, combined heart and lung transplantation and lung transplantation. The area of skin grafting became of greater importance for the treatment of war burns and other injuries, and the death from kidney disease also provided impetus to focus once more on kidney transplantation. The successful intrathoracic transplantation of the heart without interrupting the circulation led to the idea that a cardiac allograft might be able to assume some of the normal circulatory load. The indications for transplantation are widening, and although kidney, liver, heart, and even lung transplantation is now seen as routine, the necessary skills are being developed to transplant other organs, such as the small intestine, pancreas, face, hand, and uterus.

Further reading

AnyanwuAC, RogersCA, MurdayAJ. Intrathoracic organ transplantation in the United Kingdom 1995–99: results from the UK cardiothoracic transplant audit. Heart 2002; 87: 449–54.
KirklinJ, BannerNR, JessupM (eds). Advanced Heart Failure. ISHLT monograph series, Vol. 3, Part 1 & 2. Addison, TX: International Society for Heart and Lung Transplantation, 2009.
ManciniD, LietzK. Selection of cardiac transplantation candidates in 2010. Circulation 2010; 122: 173–83.
MehraMR, KobashigawaJ, StarlingR, et al. Listing criteria for heart transplantation: International Society for Heart and Lung Transplantation guidelines for the care of cardiac transplant candidate. J Heart Lung Transplant 2006; 25: 1024–42.
TaylorDO, StehlikJ, EdwardsLB, et al. Registry of the international society for heart and lung transplantation: twenty-sixth official adult heart transplant report. J Heart Lung Transplant 2009; 28: 1007–22.