[Early complications and their treatment after heart transplantation in Hungary--experience of the first 16 years].

Unlabelled: Heart transplantation is the most successful current long-term therapy of end stage cardiac failure.

Aim: In order to improve the results of the Hungarian heart transplantation activity, all data from the first 16 years were retrospectively examined and matched with the relevant literature.

Methods: Between January 1992 and December 2007, 127 heart transplantations were performed in 125 patients in Hungary.

[Role of heart transplantation in pediatric heart surgery. The first successful pediatric heart transplantation in Hungary].

7-year-old boy, who underwent aortic valve replacement two years previously, suffered from idiopathic dilated cardiomyopathy. Because of poor condition (NYHA-IV), heart transplantation was performed on 18th October 2007. It was the first pediatric heart transplantation in Hungary.

[The first successful combined heart-kidney transplantation in Hungary].

Combined heart-kidney transplantation has become a new therapeutic solution for patients with coexisting, irreversible heart and kidney failure. Though this combined approach has several theoretical advantages over sequential transplantation, it remains to be established whether it has a jeopardizing impact on patient and graft outcome. The authors report their experience of the first successful combined heart-kidney transplantation in Hungary from a single donor and review the literature in order to clarify this issue.

[Hybrid solution in aortic arch surgery].

Since the introduction of endografts, treatment of vascular diseases has remarkably changed. Due to less surgical trauma patients--those were not amenable to open surgery--now have the chance to be treated with remarkably lower risk. At certain segments of the aorta with life important side branches combination of open surgery is needed to get free segment for deployment of endografts.

[To the margin of the one hundredth Hungarian heart transplantation: an analyzing review].

On the 28th of September, 2006 was performed the one hundredth heart transplantation (HTX) at the Department of Cardiovascular Surgery of Semmelweis University in Budapest, just 15 years after the beginning of the Hungarian HTX project. This fact provides the occasion for this analyzing review. The relatively high (15.

[Case of a young woman successfully operated on for acute pulmonary embolism and right ventricular thrombus after urogenital infection].

The authors report a case of a 22-year-old women operated on for pulmonary embolism with success. The venous embolism developed in two phases one week apart. The first clinical sign was a dyspnea of abrupt onset limiting physical activity even after a mild exertion.

[The advantages of axillary artery cannulation in surgical treatment of type A acute aortic dissection].

There are more alternative cannulation techniques during surgery of type A aortic dissection. The most frequently used femoro-atrial cannulation method provides limited possibility for brain protection during surgery. This theory is confirmed by relatively high frequency of major brain complications in patients operated on while using this cannulation technique.

[Modified Jatene operation for the repair of left ventricle aneurysm].

Introduction: 134 left ventricle aneurysm operations were performed at our institute between 1993 and 2000. The original Jatene operation was modified by our workgroup: running sutures and abandoning Teflon pledges for faster operation; an additional linear closure of the remnant aneurysm above the patch to eliminate bleeding complications.

Object: The aim of this study was to describe our surgical technique, its advantages against other surgical methods in left ventricle aneurysms.

[Surgical treatment of pulmonary embolism].

The authors describe the pathology and the symptoms of pulmonary embolism with possible therapies, including thrombolysis and suction extraction. We performed two successful operations and after the examination of the data of the literature we think that in most patients the conditions for immediate surgery are not present. After the acute period, when the cardio-respiratory status is stabile, pulmonary embolectomy can result in complete recovery.

Aortic coarctation reconstructed by resection and homograft replacement in the 1950s: long-term outcome 40 years after operation.

Since the first successful repair of aortic coarctation by Dr Clarence Crafoord in 1945, there are few data regarding late follow-up of homografts in this position. Between 1957 and 1959, 7 patients underwent surgical correction of aortic coarctation by Professor József Kudász at the Department of Cardiovascular Surgery, Semmelweis University, using freeze-dried aortic homograft. We were able to locate 4 of these patients and found no significant complications due to the operation.