LA HISTORIA DEL TRASPLANTE CARDIACO EMPEZO HACE 50 AÑOS




La historia del trasplante cardiaco comenzó hace 50 años: el doctor Barnard se adelantó a todos en una 'competición' que ha salvado miles de vidas en todo el mundo

ISABEL IBÁÑEZ y JOSEMI BENÍTEZ
Cuando Juan Francisco Delgado despertó de la operación, preguntó a los cirujanos en qué estado habían encontrado el corazón que acababan de extirparle. «Hubiera durado seis meses», dijeron. De eso hace 32 años. Es el segundo trasplantado cardiaco más longevo de España –el primero, un año más, no se encuentra bien de salud–. Uno de los pioneros de la lista que engrosan 8.000 personas en nuestro país (427 niños). Hoy se cumplen 50 años desde que el doctor sudafricano Christiaan Barnard diera el pistoletazo de salida al recolocar en el pecho de Louis Washkansky, un comerciante de ultramarinos de 56 años, el corazón de Denise Darvall, una oficinista de 25 que murió atropellada. Sobrevivió 18 días y el mundo se volvió loco.
Delgado tenía 7 años cuando la noticia copó los periódicos, sin saber que le afectaría tan de cerca. A los 14 le detectaron una cardiomiopatía que no le dejaba hacer «nada» y estuvo una década entrando y saliendo de urgencias hasta que le hablaron de trasplante. «No habían evolucionado mucho con el rechazo, pero no quedaba otra. ¿Miedo? Yo estaba muy fastidiado, pensaba que se podían equivocar, pero me decía que cuándo podría tener otra oportunidad y... Tuve que arriesgar, tirar pa’lante y punto pelota. Un día llamaron para decirme que tenían un corazón, pero había otro enfermo compatible que estaba peor, así que se lo pusieron a él, y yo esperé dos meses más. El primer año casi no salí del hospital por los rechazos, pero aquí estoy». Trabaja de conserje, cuida la alimentación y toma sus medicamentos. Conoce la identidad de su donante por casualidad, aunque por ley son anónimos; sólo se informa de peso y talla, causa de la muerte y, en algún caso, edad y sexo. Pero la curiosidad y las esquelas suelen aliarse.
Poco después que Barnard, en 1968, el doctor Cristóbal Martínez Bordiú, el 'yernísimo' de Franco, pretendió repetir la gesta en nuestro país; para muchos, un intento del régimen de marcarse un tanto. Pero su paciente, un fontanero gallego, murió a las pocas horas y la hazaña quedó en anécdota. Y hubo que esperar tres lustros, porque esta historia de medio siglo tiene dos fases: antes y después del hito que supuso en 1983 la aprobación de la ciclosporina, un eficaz inmunosupresor para frenar el rechazo.
Precisamente, la noche del 8 de mayo de 1984, en el Hospital Santa Creu i Sant Pau de Barcelona, el doctor José María Caralps llevaba a cabo el primer trasplante de corazón con éxito de España: Juan Alarcón, 29 años, vivió nueve meses.«Aquella tarde –recuerda Caralps (Barcelona, 1942)– se iba retrasando la extracción. Jugamos al parchís, a las cartas... Dormimos incluso un rato, así que cuando, a las cuatro o cinco horas, nos avisaron de que llegaba el órgano, ya había gastado toda la adrenalina. Lo hicimos como estaba planeado y al ver que funcionaba nos pusimos muy contentos. Yo había interiorizado la operación millones de veces». No tuvo el reconocimiento esperado: «Ni un equipo de cirugía nos llamó para felicitarnos. A la gente le sentó mal que nos atreviéramos a hacer algo a lo que nadie se atrevía», dice el cirujano. Sus manos han recolocado 200 corazones.
Barnard también afrontó críticas. Caralps estaba en el Hospital Maimonides de Nueva York haciendo tres trasplantes diarios en perros cuando llegó la noticia. «Fue una conmoción porque, en el mismo Maimonides, había mucha gente que se estaba preparando para ello. Recuerdo haberme abrazado a un colega japonés porque se confirmaba que lo que hacíamos era viable en humanos y salvaría miles de vidas». Pero muchos consideraron que Barnard no era el más preparado; en EE UU estaba Norman Shumway, del que había aprendido la técnica y que estaba esperando a solucionar el problema del rechazo. «Dijeron que tenía que haber sido él, que a ver qué se creía Barnard. Sudáfrica estaba inmersa además en el 'apartheid' y cuando vino a dar una charla ningún médico negro asistió al cóctel».

Con Grace de Mónaco

Para colmo, se convirtió casi en una 'estrella' de Hollywood; lo mismo aparecía conduciendo un descapotable que bailando con la princesa Grace de Mónaco. Lo recuerda Lorenzo Silva, jefe de la sección de Cuidados Agudos Cardiológicos del Puerta de Hierro, el hospital con el récord de trasplantes de corazón en España, unos 900. Tenía 9 años cuando Barnard hizo historia: «Mi padre era médico rural y vimos la noticia. También me acuerdo de la artrosis de sus manos, de su mujer, de que se volvió a casar...». El cardiólogo estuvo en aquellos primeros trasplantes. «En el 84, a una niña de 11 años que se ha vuelto a retrasplantar. Fue muy emocionante entrar al quirófano con el doctor Figueras y el doctor Alonso-Pulpón, uno de los responsables de que el trasplante cardiológico en España ocupe el lugar que ocupa».
Silva destaca cómo la terapia del rechazo «ha mejorado mucho; la calidad de vida es muy buena. La mortalidad hospitalaria es de un 13%, pero la supervivencia alcanza el 80% el primer año y el 70% a los cinco. A los once, la mitad siguen vivos». Aunque a veces las cosas se tuercen; su mente guarda un lugar para un joven con una cardiopatía congénita: «Parecía un niño. Recuerdo cómo llamaba a su madre cuando apareció un donante. ‘¡Mamá, mamá!’, decía aterrado. Y se nos murió en la mesa de operaciones. Lo pasé muy, muy mal».

En cifras

7.023
trasplantes de corazón se hicieron en todo el mundo en 2016 (de un total de 126.670, según datos del Registro Mundial de trasplantes). En nuestro país se realizaron 4.818 trasplantes, de los que 281 fueron cardiacos.
Líderes mundiales
España es líder mundial en pacientes trasplantados por millón de población, con 102,3, muy por encima de la media de la Unión Europea (64) y superior a Estados Unidos (99,9).
Hasta cien personas
están implicadas en un trasplante de corazón: cirujanos, cardiólogos, anestesistas, enfermeros, personal de laboratorio y de la UCI, inmunólogos haciendo estudios de compatibilidad de órganos...
También ha afrontado momentos así Juan Miguel Gil-Jaurena, jefe de cirugía cardiaca infantil del Gregorio Marañón. Incluso sufrió un 'escrache' de unos padres que perdieron a su hijo adolescente. «No quiero ni hablar de ello. Te lamentas, te preguntas si en vez de a ese deberías habérselo puesto a otro, pero entrarías en un bucle de autorreproches insano. Lo hacemos lo mejor que podemos». Y la mayoría de las veces son alegrías: opera a unos diez niños al año (menores de 18 y adultos con cardiopatías congénitas), que representan el 10% de los trasplantes de corazón en España. Y su supervivencia está en el 85-90%.
Un niño necesita un corazón algo más grande que el suyo. Y como afortunadamente hay pocos donantes, tienen que aceptar «discrepancias de tamaño». «No te asustes –cuenta Gil-Jaurena–, pero hace dos años tuvimos un donante de diez kilos y un receptor de tres; hubo que dejarle varios días con el tórax abierto hasta que se fue acomodando. Hoy está hecho un pimpollo. Tenemos la suerte de que cuanto más pequeño es el paciente mejor se adapta». Con niños es difícil contabilizar la lista de espera. Una vez incluyeron a uno de dos meses y esa misma noche llegó un corazón. Por contra, una cría de 3 años esperó seis meses con uno artificial. ¿Sigue emocionándose con su trabajo? «Ese momento en el quirófano en el que ves que el corazón vuelve a latir es, es... magia».

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22 Comentarios

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  8. Hello i am here to say a big thank you to my doctor DR OLU who helped me enlarge my penis.i have never had a happy relationship in my life because of my inability to perform well due to my small penis, due to frustration,i went online in search of solution to ending my predicament and than i came across testimony on how DR OLU has helped them, so i contacted him and he promised to help me with penis enlargement,i doubted at first but i gave him a trial and he sent me the product which i used according to his prescription and in less than a week,i saw changes in my penis and it grow to the size i wanted and since then,i am now a happy man and no lady complains again about my penis.if you also need the services of my doctor,you can also contact his whataspp is +2348140654426








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  9. my name is Promise dickson Finch am from Texas USA. I want to share a testimony of how Dr. OLU herbal mixture cream saves me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing,and i was also having weak erection problem. I can make love to my wife and my penis was just too small a full grown man like me having 4 inches penis and to worsen it i don't last in sex i cant even last two minutes it was really a thing of shame to me. My wife was really tired of me because my sex life was very poor,she never enjoyed sex,i was always thinking and searching for solutions everywhere until when i saw a testimony of how Dr. OLU. herbal mixture cream have been helping people regarding their sex life, so i decided to give him a try and to my greatest surprise in less than two weeks of taking the herbs my penis grow to 8 inches i couldn't believe my eyes and as i speak now my penis is now 8 inches and i do not have weak erection again. I can make love to my wife longer in bed. And my marriage is now stable,my wife now enjoy me very well in bed. You can contact him via (drolusolutionhome@gmail.com) You can contact him today and get your problem solved.Call +2348140654426 .." or you can also contact him through his what-app +238140654426

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  13. I am so happy, i never believe i will be this happy again in life, I was working as an air-hoster ( cabby crew ) for 3years but early this year, i loose my job because of this deadly disease called Herpes virus (HSV), I never felt sick or have any symptom, till all workers were ask to bring their doctors report, that was how i got tested and i found out that am HSV positive that make me loose my job, because it was consider as an STD and is incurable disease, i was so depress was thinking of committing suicide, till i explain to a friend of mine, who always said to me a problem share is a problem solved, that was how she directed me to Dr Isibor, that was how i contacted him and get the medication from this doctor and i got cured for real, I just went back to my work and they also carry out the test to be real sure and i was negative. Please contact this doctor if you are herpes positive diseases his email is: drisiborspellhome@gmail.com. or you can call or whatsApp his mobile number +2348107855231.

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  14. I want to give a testimony on how I got cured from Herpes Virus. Few months back I was having some symptoms . I went to see a doctor and many blood tests was done on me, later on I was told I had Herpes. My doctor told me that there’s no cure for Herpes I felt bad, I went online searching for a possible cure for Herpes virus, I saw a post of Dr. OJOGUN a herbal doctor that’s helping people get cured from HIV, HEPATITIS B, CANCER e.t.c. I contacted him and I told him how I’m feeling he said his herbal medicine can cure me. He sent me the medicine and I received the medicine some days after he sent it, i took the medicine as prescribed by him. Before the completion of the medication the symptoms stopped. I went to the doctor and carried out another blood test, surprisingly I was negative. I haven’t had any symptoms anymore. Dr. OJOGUN is great, and his herbal medicine has no side effects. You can reach him on his Email:  (drojogunherbalmedicine@gmail.com) or whatsApp him on +2347059015454  

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  15. I have been suffering from (HERPES) disease for the last four years and had constant pain, especially in my knees. During the first year, I had faith in God that I would be healed someday.This disease started to circulate all over my body and I have been taking treatment from my doctor, a few weeks ago I came on search on the internet if I could get any information concerning the prevention of this disease, on my search I saw a testimony of someone who has been healed from (Hepatitis B and Cancer) by this Man Dr. Silver and she also gave the email address of this man and advise we should contact him for any sickness that he would be of help, so I wrote to Dr. Silver telling him about my (HERPES Virus) he told me not to worry that I was going to be cured!! hmm i never believed it,, well after all the procedures and remedy given to me by this man few weeks later I started experiencing changes all over me as the Dr. assured me that I have cured, after some time i went to my doctor to confirmed if I have been finally healed behold it was TRUE, So friends my advice is if you have such sickness or any other at all you can email Dr. Silver (drsilverhealingtemple@gmail.com) sir I am indeed grateful for the help I will forever recommend you to my friends!!! with your lovely Email Address ( drsilverhealingtemple@gmail.com

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  17. Am tracy by name,from Germany, i was diagnosed with Herpes for 6years ago i lived in pain with the knowledge that i wasn't going to ever be well again i contacted so many herbal doctors on this issue and wasted a large sum of money but my condition never got better i was determined to get my life back so one day i saw mrs neme amber post on how Dr Emmanuel saved him from the VIRUS with herbal medicine i contacted Dr Emmanuel on his email address: nativehealthclinic@gmail.com or WhatsApp +2348140073965 we spoke on the issue i told him all that i went through and he told me not to worry that everything will be fine again so he prepared the medicine and send it to me through courier service and told me how to use it,after 18days of usage I went to see the doctor for test ,then the result was negative,am the happiest woman on earth now. this testimony .is real.thanks to Dr Emmanuel God bless you...

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  21. I Want To Appreciate Dr.OYAGU for hs great deeds, I Was Diagnosed With type 2 Herpes Virus Last year,And Was Looking For Solution To Be Cured Luckily I Saw Testimonies On How Dr.OYAGU Cure Herpes Virus I Decided To Contact Dr.OYAGU I Contacted Him He Prepared A Herbal Medicine Portion And Sent It To Me,I Started The Herbal Medicine For My Health.He Gave Me Step By Step Instructions On How To Apply It, When I Applied It As Instructed, I Was Cured Of This Deadly Herpes Within 2 weeks, I Am Now Herpes Negative.My Brother And Sister I No That There Are So Many People That Have There Same Herpes Virus Please contact Dr OYAGU To Help You Too,And Help Me To Thank Dr.OYAGU For Cure Me, I’m Cured By Dr. OYAGU Herbal Medicine,His Contact Email:oyaguherbalhome@gmail.com

    Or Cell Whatsapp Number +2348101755322 thank you

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  22. Its a pleasure for me to write this testimony about how i was cured from Genital Herpes. i have been reading so many comments of some people who were cured from different various diseases by Dr .Abaka, but i never believed them. I was hurt and depressed so I was too curious and wanted to try Dr. Abaka herbs, then i contacted him through his email when i contact him, he assured me 100% that he will heal me, i pleaded with him to help me out. My treatment was a great success, he healed me just as he promised. he sent me his medication and ask me to go for check up after three weeks of taking the medication. i agreed with him i took this medication and went for check up, to my greatest surprise my result was negative after the treatment, i am really happy that i am cured and healthy again. I have waited for 8 weeks to be very sure i was completely healed before writing this testimony. I did another blood test one week ago and it was still Herpes negative. so i guess its time i recommend anyone going through Herpes HSV-1 or HSV-2, HIV, HPV, Hepatitis B, Diabetes, cold sore reach him through Email drabakaspelltemple@gmail.com OR add on whats-app +2349063230051.

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