The first successful case of heart transplantation in the city of Аlmaty: a one-year follow-up

According to the registry of the International Society of Heart and Lung Transplantation (ISHLT), approximately 5,000 heart transplantation are performed annually. Survival rates after heart transplantation are significantly higher compared to the natural course of terminal heart failure, as a result, transplantation activity has been increasing every year.
The article represents a clinical case of successful orthotopic biatrial heart transplantation to a recipient with end-stage heart failure, the peculiarity was the presence of a giant left atrium, the volume of which before the operation was 1070 ml, indexed volume 660 ml/m², long axis size 10.3 cm. Giant left atrium is a rare pathology characterized by excessive dilation of the cavity. According to literature data, the incidence of this pathology is 0.3%. Progressive left atrial dilatation was associated with the severe mitral regurgitation and atrial fibrillation in anamnesis. Description of the preoperative condition of the patient, features of surgical intervention and postoperative management of the patient. A dynamic assessment of the patient's condition was carried out throughout the year, including monitoring of laboratory parameters, instrumental investigations and functional tests.

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