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Implementation of Heart Transplantation Program to Advanced Heart Failure Patients in Brazil

  • Fabiana G. Marcondes-BragaEmail author
  • Marcely Gimenes Bonatto
  • Caio Ribeiro Alves Andrade
  • Fernando Bacal
Implementation (L Rhode, Section Editor)
  • 16 Downloads
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  1. Topical Collection on Implementation

Abstract

Purpose

Heart transplantation is the gold standard treatment for advanced heart failure. Left ventricular assist devices (LVADs), despite being a good option for these patients, are not quite available in developing countries. Time spent in heart transplant waiting list has increased lately even in regions where the number of transplants has also risen showing that a new strategy should be sought.

Recent Findings

Transplant process organization combined with multidisciplinary work are linked to better outcomes while improvement in donor’s care and in pre-transplant evaluation might be opportunities to change the long waiting list scenario.

Summary

For the first time in Brazil, a survey with the most expressive heart transplant centers has been made, which allows an overview of treatment of advanced heart failure in a developing country. We also described a model of heart transplant team, which has proved to be a success when compared to the largest heart transplant centers in Latin America.

Keywords

Advanced heart failure Heart transplantation Ventricular assist devices Multidisciplinary team 

Notes

Acknowledgments

We would like to thank Fabiana G. Marcondes Braga1; Rodrigo Carneiro2; Marcelo Botelho Ulhôa Júnior3; João David de Souza Neto4; Jefferson Luis Vieira4; Cláudio Leo Gelape5; Sandrigo Mangini6; Lidia Ana Zytynski Moura7;Marcely Gymenes Bonatto7; Deuseny Tenorio Marques Sá8; João Manoel Rossi9; Nadine Clausell10; Livia Adams Goldraich10; Alexandre Siciliano Colafrancheschi11; Marciane Rover12; Silvia Moreira Ayub Ferreira13; Carlos Fernando Ramos Lavagnoli14; and Fábio Avila Tofani15 for having provided the information about the structure of the centers described in this article.

Institutions:

1Heart Institute (InCor), University of Sao Paulo – SP; 2Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)-PE; 3Instituto de Cardiologia do Distrito Federal (ICDF), Brasilia; 4Hospital de Clínicas de Universidade Federal de Minas Gerais – MG; 5Hospital de Messejana - Fortaleza- CE; 6Hospital Israelita Albert Einstein – SP; 7Santa Casa de Misericórdia de Curitiba – PR; 8Instituto do Coração de Pernambuco – PE; 9Instituto Dante Pazzanese de Cardiologia – SP; 10Hospital de Clínicas de Porto Alegre – RS; 11Instituto Nacional de Cardiologia - Rio de Janeiro – RJ; 12Fundação Universitária de Cardiologia - Porto Alegre – RS; 13Hospital Sírio Libanês - Sao Paulo – SP; 14Universidade Estadual de Campinas (UNICAMP)- SP; 15Hospital Felício Rocho - MG.

Compliance with Ethical Standards

Conflict of Interest

Fabiana G. Marcondes-Braga, Marcely Gimenes Bonatto, Caio Ribeiro Alves Andrade, and Fernando Bacal each declares no potential conflicts of interest.

References

  1. 1.
    Colvin M, Smith JM, Hadley N, Skeans MA, Carrico R, Uccellimi K, et al. OPTN/SRTR 2016 annual data report: heart. Scientific Registry of Transplant Recipients. Am J Transplant. 2018;18(Suppl 1):291–362 2018;1–72.CrossRefGoogle Scholar
  2. 2.
    Lund LH, Khush KK, Cherikh WS, Goldfarb S, Kucheryavaya AY, Levvey BJ, et al. International Society for Heart and Lung Transplantation. The registry of the International Society for Heart and Lung Transplantation: thirty-fourth adult heart transplantation report-2017; focus theme: allograft ischemic time. J Heart Lung Transplant. 2017 Oct;36(10):1037–46.CrossRefGoogle Scholar
  3. 3.
    Registro Brasileiro de Transplantes - Dimensionamento dos Transplantes no Brasil e em cada estado. Revista Brasileira de Transplantes 2017; Ano XXIII Num.4.Google Scholar
  4. 4.
    Seguro LF, Marcondes-Braga F, Avila MS, Mangini S, Lourenço Filho DD, Santos RH, et al. F. Bacal. “Heart transplant team” and its impact in the results of heart transplant in a Brazilian center. Abstract 414. J Heart Lung Transpl. 2015;5(4S):S158.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Fabiana G. Marcondes-Braga
    • 1
    Email author
  • Marcely Gimenes Bonatto
    • 2
  • Caio Ribeiro Alves Andrade
    • 3
  • Fernando Bacal
    • 1
    • 4
  1. 1.Heart Transplantation Department, Heart Institute (InCor)University of Sao PauloSao PauloBrazil
  2. 2.Heart Transplantation DepartmentSanta Casa de Misericórdia HospitalCuritibaBrazil
  3. 3.Intensive Cardiovascular Care UnitLife Center HospitalBelo HorizonteBrazil
  4. 4.Hospital Israelita Albert EinsteinSao PauloBrazil

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