DILLEMA IN HEART TRANSPLANT

DILLEMA IN HEART TRANSPLANTGROUP D2Aisyah RisetaAnindita LaksmiBegin KoresyDini Qurrotu AiniHelen Oktavia SutionoJuan Achmad YudistiraNada Ardilla Dwiayu FebrinaSiti Khadijah RahmaniaYodya Evila Yola Yuniarti

An overview of indication for heart transplant and its technical difficultiesWhy do we need a heart transplant?Candidates for heart transplantation should have terminal heart failure, and a life expectancy of less than 12 months. In general, indications for heart transplantation are: Cardiomyopathy (acute or chronic disease of the heart muscle) Coronary artery disease Valvuler heart disease Re-transplantation Complex forms of congenital heart defects

ACC/AHA (American College of Cardiology and the American Heart Association ) Guidelines : Indication for Cardiac TransplantationAbsolute IndicationsRelative IndicationsInsufficient Indications

Technic of Heart Transplant

Heterotopic Heart TransplantPada transplantasi ini, jantung lama pasien tidak dikeluarkan dari tubuh, jantung baru diposisikan sehingga ruang dan pembuluh darah dari kedua jantung bisa dihubungkan sehingga membentuk double heart

Orthotopic Heart TransplantMengganti jantung pasien dengan jantung pendonorTechnical Challenge of Heart Transplant

Recipient ListingKriteria untuk seleksi resipien berdasarkan Papworth Hospital di CambridgeEnd-stage heart disease with life expectancy limited to 6-12 months.Age of less than 55 years for coronary arteries disease; less than 60 years for cardiomyopathyAbsence of irreversible hepatic or renal failureAbsence of active infectionAbsence of recent pulmonary infectionPsychosocial stabilityThere is no lower age limit to heart transplantation

Donor SelectionKriteria ideal :Umur (