Heart Transplantation in Children in Foreign Countries With Reference to Mdeical, Transportation, and Financial Issues
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概要
- 論文の詳細を見る
Heart transplantation is increasingly becoming accepted worldwide as therapy for end-stage heart failure not only in adult patients but also in pediatric parctice. The new law in Japan for organ transplantation from brain-dead patients was established on 16 October 1998, but there is no definite law or protocol for brain death in children under the age of 6 years and children less than 15 years of age cannot become donors. These facts make organ transplantation from the cadavers of neonates, infants and young children almost impossible in Japan, even though there are children who need heart or heart-lung transplantation. The present authors have to date tansferred 8 patients to the USA or Germany for heart transplantation: 4 successfully underwent heart transplantation, but 4 died during the waiting period overseas. There are many things to consider; not only the medical problems involved in transportation, but also the financial issues when transferring patients to other countries. This report details experience with the 8 cases that were transferred overseas for heart transplantation, and highlights the problems that need to be considered.
- 社団法人日本循環器学会の論文
- 2000-07-20
著者
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SUZUKI Yasuyuki
Department of Physics, Faculty of Science, Niigata University
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Ishizawa Akira
Cardiology, National Child Health Center
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SAKAI Hirokazu
Department of Interdisciplinary Medicine, National Center for Child Health and Development
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Oho Shinichi
Division of Cardiology, National Children's Hospital
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Ishizawa Akira
Division of Cardiology, National Children's Hospital
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Dodo Hidemi
Division of Cardiology, National Children's Hospital
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Sakai Hirokazu
Department Of Anesthesia And Intensive Care National Children's Hospital
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Ishizawa Akira
Cardiology National Child Health Center
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Ishizawa Akira
Division Of Cardiology National Center For Child Health And Development
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Suzuki Yasuyuki
Department Of Cardiology Nihon University Surugadai Hospital
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Dodo Hidemi
Division Of Cardiology National Children's Hospital
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Dodo Hidemi
Division Of Cardiology National Center For Child Health And Development
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Oho Shinichi
Division Of Cardiology National Children's Hospital
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Miyasaka Katsuyuki
Department of Anesthesia and Intensive Care, National Children's Hospital
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Miyasaka Katsuyuki
Department Of Anesthesia And Intensive Care National Children's Hospital
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Miyasaka Katsuyuki
Department Of Anesthesia And Icu National Children's Hospital
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Suzuki Yasuyuki
Department Of Anesthesia And Intensive Care National Center For Child Health And Development
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Suzuki Yasuyuki
Department Of Anesthesia And Intensive Care National Children's Hospital
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Suzuki Yasuyuki
Department Of Anesthesia And Icu National Children's Hospital
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