How long can you live after a heart transplant and what is a heart transplant like?

Generally 5 to 6 years! It's the same as a kidney transplant. 15 years is relatively little!

Heart transplantation is a procedure in which the patient's heart is removed and the donor's heart is re-stitched into the patient's chest. It can be divided into orthotopic heart transplantation and ectopic heart transplantation. In the former, the diseased heart is removed and then a heart is transplanted in situ, while in the latter, the diseased heart is not removed and another heart is transplanted in another part of the body (usually the right chest).

During heart transplantation, after the patient is under general anesthesia, the surgeon makes a surgical incision in the middle of the sternum of the patient's chest. Interrupting the flow of blood to the heart**, the patient's blood is transported through an artificial tube to a cardiopulmonary bypass device, which temporarily replaces the patient's cardiopulmonary function and maintains the normal oxidation and circulation of the patient's blood. During the procedure, the patient's heart is removed and the donor's heart is re-stitched into the patient's chest.

During a heart transplant, the patient's heart is removed and the donor's heart is re-stitched into the patient's chest. Heart transplants can prolong the lives of patients with serious heart disease. About 80% of patients survive for 2 years after surgery.

As with other organ transplants, the biggest problem with heart transplants is transplant rejection. If transplant rejection is controlled, patients can survive for more than 10 years. After surgery, patients need to take immunosuppressants irregularly, and when they feel better, they can carry out appropriate daily activities under the guidance of their doctors.

However, strenuous physical exertion must be avoided.

Heart transplantation is mainlySurgical transplantation for advanced congestive heart failure and severe coronary artery disease。It is an allogeneic transplant procedure in which a human heart that has been judged to be brain dead and successfully matched is removed and implanted into the chest cavity of the desired recipient.

The recipient's autologous heart is removed (called an orthotopic heart transplant) or left to support the donor heart (called an ectopic heart transplant). The average survival after surgery is 13 years.

At present, there are more than 100 heart transplants in China every year, with a three-year survival rate of more than 90% and a five-year survival rate of more than 85%. Heart transplantation is not a routine method for heart disease, but rather as a means to save the lives of patients with end-stage heart disease and improve their quality of life.

Post-operative care:

In the early days after heart transplantation, patients need to be monitored in the ICU**, and when they wake up, they need to be transferred to a special ward for ** care. The length of hospital stay and postoperative care depends on the patient's general condition, the function of the transplanted heart, and the patient's ability to care for themselves.

Because prolonged hospital stays increase the risk of nosocomial infections, doctors usually expect patients to be discharged about 2 weeks after surgery, and they should return to the hospital regularly for follow-up after discharge, and patients also need some emotional and psychological support.

As the patient gradually adjusts, the return to the hospital for follow-up can be extended. Because the vagus nerve is severed during surgery, the donor heart beats about 100 times per minute after denervation.

After heart transplantation, it is necessary to have regular check-ups to evaluate the function of the transplanted heart, monitor the concentration of immunosuppressant drugs and whether there is immune rejection, and actively prevent and treat infection. Immunosuppressants should be taken consistently for a long time to avoid rejection, and regular myocardial biopsies should be performed to check for rejection.

We humans have one hand, one pair of eyes, two feet, but only one heart. But in October 1978, one thing caused a sensation in the world medical community: cardiologists from the Arnou-Janck Institute in France successfully implanted the heart of a 15-year-old boy who died in a traffic accident to Pierre Unsado, a 48-year-old businessman who was suffering from a serious heart disease and was slowly waiting to die in a hospital, so Pierre Onzado became a man who lived with two hearts.

The newly implanted heart is connected in parallel with the diseased heart, and the diseased heart only bears 15% of the normal workload, while the newly implanted heart becomes the main force to ensure the patient's survival. A few months after the operation, Pierre Anzado was discharged from the hospital and returned to his normal life.

Although Pierre Unsado was a man with two hearts, he was not the first person in the world to receive a heart transplant. The world's first heart transplant was successfully performed in 1967 by South African physician Bannard. Some time later, due to the high mortality rate, doctors stopped trying to transplant the heart.

Until the early 80s of the 20th century, due to the application of cyclosporine A, an immunoassay, the rejection reaction was greatly reduced, and the effect of heart transplantation was getting better and better, and the heart transplantation boom was set off again in the world. By the end of the 80s, more than 10,000 heart transplants had been recorded, accumulating 25,331 to date. Several heart transplants have also been successfully performed in our country.

Now heart transplantation has passed the experimental stage and is used as the best means of medium and long-term heart disease. At present, the annual survival rate of heart transplantation in advanced countries in the world has reached 80 85, and the incidence of rejection after 1 year of survival has been significantly reduced, and the 5-year survival rate has also reached 80.

The small heart on the left is the heart that has been replaced, and the heart on the right is the normal-sized heart that has been transplanted in place, because the heart is closely related to the function of the lungs, and sometimes the heart can be affected by lung diseases, so the heart and lungs need to be replaced at the same time, which is a combined heart-lung transplant. In March 1981, Stanford University Hospital transplanted the heart and lungs of a 15-year-old man who died of traumatic brain injury in a car accident to a 45-year-old woman with heart failure, giving her a long-term survival. Since then, it has opened up a new field of combined heart-lung transplantation.

However, due to the complexity of this procedure, the current 3-year survival rate is only about 70%, so there are still many problems to be solved.

In 1967, South African physician Barnard performed the first orthotopic heart transplant on a patient with cardiomyopathy, causing a sensation around the world. There have been many attempts before, but there is still a long way to go. In 1961, Norman Shamway had a heart transplant between dogs, and the new heart worked for 3 weeks before being rejected by the body.

Because the immune system in the animal's body recognizes that the transplanted heart is not its own person, it tries to kill the transplanted foreign body in every possible way, a process called rejection. In 1964, doctors in the United States transplanted a chimpanzee's heart into a patient, but it was also unsuccessful. The reason is that chimpanzees' hearts are too small to adapt to the requirements of the human body; Moreover, the heart of the chimpanzee is a xenogeneic heart, and the rejection is even stronger.

The first person to successfully undergo a heart transplant was South African Lewis Wohuikanski, and Dr. Barnard brought a man to death from a head injury. A 24-year-old woman's heart was transplanted to him. He lived for 18 days after surgery and died of pneumonia.

Since then, heart transplant technology has advanced by leaps and bounds, and by the late 80s, patients who had a heart transplant usually survived for 5 years or more after surgery. At present, the longest surviving patient after a heart transplant in the world is a Frenchman, 28 years ago. Heart transplantation technology in China started relatively late, and the patient who survived the transplant for the longest time was a worker in Harbin, Heilongjiang Province, who has been living for more than five years now, and his daily life and work are no different from ordinary people.

Heart transplantation can be used for all kinds of advanced heart disease (including coronary heart disease, cardiomyopathy, complex congenital heart disease). A heart transplant can be given to anyone whose heart disease has reached an extent where recovery is impossible**. This procedure can be performed from infants to the elderly up to 70 years old.

However, if doctors find that the pressure in the patient's pulmonary arteries is high above a certain limit, they generally advise against this surgery because acute right heart failure can occur after the surgery. People with severe stomach ulcers, hepatitis, mental illness, or cancer are also not candidates for heart transplantation.

The heart transplant process is actually very simple, the heart of a brain-dead person can be cut off completely, carefully trimmed, and then the atrial anastomosis and aortic anastomosis are performed in the remnants of the original heart position, and then the blood supply to the heart is restored, which is called orthotopic heart transplantation. However, people cannot live without a heart, and once rejection or infection occurs, the patient's heart function is impaired, which is the main cause of death in the first 3 months of heart transplant patients. Fortunately, at present, post-operative monitoring and nursing technology has matured, and the application of anti-rejection drugs has become increasingly mature, and thousands of people receive heart transplants in the United States every year abroad, of which 95% of them have normal heart function and 85% have returned to work.

The research on heart transplantation in China is also getting closer and closer to the level of foreign countries.

Hello! First of all, I wish you good health! For the sake of you and me, let me tell you about the survival rate after heart "transplantation".

One of the core criteria for the success of an organ transplant is the number of years a transplant has survived. Which one has survived the longest organ transplant in the world? How long is the age?

The answer is that the longest survival time for a kidney transplant is 42 years. Among all types of organ transplantation, kidney transplantation is the most mature and has the best effect, so it has more general significance.

However, the technique of heart transplantation is more complex than that of the kidney, and the significance is more important than that of the kidney, because it is the engine of the whole body.

Therefore, it is more significant to observe and compare the quality of life of heart transplant survivors. There are two vivid examples. One was a heart transplant in the United States, who survived for 28 years; Another is from China, where he has been living a healthy life for 14 years after his heart transplant.

Interestingly, the first person to change hearts in both countries is 48 years old.

Professor Wang Chunsheng, an expert in cardiac surgery at the Institute of Cardiovascular Research of Shanghai Zhongshan Hospital, believes that the overall success rate of heart transplantation has reached 95. In foreign hospitals that carry out heart transplantation earlier, the one-year survival rate after heart transplantation can reach more than 90, and the five-year survival rate is more than 80, and people who have reached the five-year survival period can usually survive for a long time, so 5 years is a key point. In addition to the longest-surviving case in the United States, Europe also has the world's second-longest surviving person, at 25 years.

After a successful heart transplant, the transplant person should switch from the role of a patient to a healthy person, and return to work and participate in social activities. This is the real success of an organ transplant. And patients should also be like Huesman in the United States and Yang Yumin in China, living and working with a positive attitude, which can be regarded as the most successful organ transplant, and it is also the wonderful and successful life.

If you are satisfied with the above, please don't disappoint my kindness and answer in time.

How long does an artificial heart live? Is a heart transplant really good? The doctor told you.

If you are not old, after the 5-year observation period after surgery, it will not be a big problem, but only if it gradually improves. The maintenance of the heart needs to be paid attention to from time to time, you should avoid excessive exercise, avoid overwork, in fact, the cold has a great impact on the heart, so minor diseases are also treated immediately.

You're doing heart repairs; Not a transplant; If the repair is done well, it can be maintained until the natural year; Poorly done; Within 10 years; Man cannot live without a heart;

This question is mainly based on the individual's constitution.