Heart Transplantation In 1967, South African
surgeon Dr. Christiaan Barnard transplanted
a heart from one person into the body of
another. The patient survived for 18 days.
In the almost four decades since then, the
procedure has changed from an experimental
operation to an established treatment for
advanced heart disease.
Patients who need
heart transplants are suffering from heart
failure as a result of advanced heart disease.
Conventional heart surgery and standard medical
therapy are no longer helpful and survival
without a transplant may be one or two years.
Transplantation is performed for many heart
conditions, but the two most common heart
diseases leading to transplantation are coronary
artery disease (narrowing or hardening of
the coronary arteries) and cardiomyopathy
(weakening of the heart muscle).
Liver Transplantation The first successful
liver transplant was performed by Dr. Thomas
Starzl at the University of Colorado, Denver
in 1967. As with the heart, liver transplantation
has moved from the experimental into the main stream
of acceptable treatment.
Although the liver, the body’s
largest organ, has a remarkable power to regenerate
itself, there are certain illnesses that
can cause permanent and irreversible damage
to the liver. When the liver is not functioning
properly, patients may experience jaundice
(a yellow discoloration of the skin and eyes),
uncontrolled bleeding, a decreased level
of consciousness (patients may be very drowsy,
irritable, and occasionally go into a coma),
malnutrition, and ascites (a collection of
fluid in the belly). There are many causes
of liver disease, but some of the more common
ones include: primary biliary cirrhosis,
chronic active hepatitis with cirrhosis,
hepatitis C, hepatitis B, sclerosing cholangitis,
alcoholic liver disease, inherited diseases
such as glycogen storage disease, Wilson's
disease, alpha-1 antitrypsin deficiency,
or hemochromatosis and biliary atresia.
Canada ’s
longest-surviving liver recipient was transplanted
in 1982 and continues to enjoy a full and
healthy life.
Kidney Transplantation End-stage renal disease
(ESRD) is a stage of kidney impairment that
is irreversible, cannot be controlled by
conservative management alone, and requires
dialysis or kidney transplantation to maintain
life.
There are two types of kidney
failure: acute and chronic. Acute kidney
failure is a temporary decline in kidney
function that can most often be corrected.
Chronic kidney failure, on the other hand,
is a permanent condition, meaning that once
it occurs, the kidneys cannot be made to
function again.
Chronic kidney failure may be the result
of heredity, as with polycystic kidney disease,
or may be caused by prolonged medical conditions,
such as high blood pressure or diabetes. Persons
with chronic renal failure are referred to
as having end-stage renal disease. The term
indicates that the patient must rely on some
type of medical treatment to help replace the
loss of kidney function.
2005 Copyright Canadian Association
of Transplantation