ウクライナで初、同時心臓・肝臓移植が成功 術後1日で人工呼吸器を離脱
キーウの医師たちは、重い心臓病と肝臓病のある44歳のキ ultrason residentに対し、ウクライナ初の同時「心臓・肝臓」移植 Successfullyurgeryを実施した。Operation lasted about 15 hours; during the first postoperative day, the patient regained consciousness, breathed independently, sat up and ate, and was disconnected from mechanical ventilation.
要点
- _uuid
- -operation lasted about 15 hours
- the patient was disconnected from mechanical ventilation within the first postoperative day
- the patient was conscious, breathed independently, sat up and ate during the first postoperative day
- the operation was performed on a 44-year-old Kyiv resident with severe heart and liver disease
- the heart was transplanted first, followed by the liver
- the recipient's condition was reported stable in the intensive care unit
なぜ重要か
This was the first combined heart-and-liver transplantation performed in Ukraine and expands treatment options for patients who need both organs. The procedure required coordination among transplant surgery, intensive care, artificial circulation and extracorporeal membrane oxygenation. The recipient recovered rapidly after surgery.
何が起きたか
Doctors at Kyiv City Clinical Hospital No. 1 performed Ukraine's first simultaneous heart-and-liver transplant on a 44-year-old Kyiv resident whose heart ejection fraction had fallen sharply and who had severe bleeding from varicose esophageal veins, worsening cardiovascular failure and liver failure. The patient had waited for combined transplantation since 2018. The donor was a young man declared brain-dead after a hemorrhagic stroke. To stabilize him and preserve his organs, doctors used extracorporeal membrane oxygenation. The medical team transplanted the heart and then the liver, using an artificial circulation machine during both stages. The operation lasted about 15 hours. After controlling bleeding, the recipient was transferred to intensive care. During the first postoperative day, he became conscious, breathed independently, sat up and ate, and was disconnected from mechanical ventilation. At the time of the announcement, his condition was stable.
ウクライナメディアの見方
Ukrainian reports emphasized the historic first for Ukraine and the role of Kyiv City Clinical Hospital No. 1. They also highlighted the recipient's severe condition, his long wait for assistance, the technical complexity of the operation and the rapid improvement after surgery.
背景
The recipient had been placed on a waiting list for combined transplantation in Minsk in 2018 but did not receive the necessary assistance. During the transplant, extracorporeal membrane oxygenation was used to support circulation, and the team had planned in advance to transition from artificial circulation to venoarterial ECMO. Ukraine recorded 473 organ transplants across 21 medical institutions during the first nine months of 2026.