THE FIRST CLINICAL CASE OF HEART TRANSPLANTATION IN A RECIPIENT WITH AN INITIAL PULMONARY HYPERTENSION IN THE OKRUG CLINICAL HOSPITAL OF KHANTY-MANSIYSK

Stepanova Margarita Vladimirovna, Klimova Margarita Olegovna, Stefanov Sergey Andreevich, Urusov Dmitry Anatolyevich

The article presents a clinical case of heart transplantation in a recipient with initial pulmonary hypertension. The use of a comprehensive approach in the treatment of biventricular dysfunction of the heart transplant in the early postoperative period allowed for the short-term relief of heart failure, rapid and complete regression of pulmonary hypertension. During the year following the heart transplantation, the patient was observed to have echocardiographic signs of right ventricular systolic dysfunction. The most likely causes of these changes in this clinical case are the recipient's initial pulmonary hypertension and the "donor" factors, such as brain death and prolonged graft ischemia.

Keywords:heart transplantation, pulmonary hypertension, heart failure, right ventricular systolic dysfunction, nitric oxide, extracorporeal membrane oxygenation.