Complete Classical case 3 – Christiaan Barnard’s First Heart Transplant summary include 2 additional articles with information about the classical case report
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A summary of the case
The First Heart Transplant
Discuss the first human heart transplant that was carried out by Christiaan Barnard. What were the findings from this transplant?
Why was it awkward for Christiaan Barnard to ask Edward Darvall for his daughter’s heart?
The ethical issues related to the case
What is the controversy surrounding whether Christiaan Barnard should have done the heart transplant in the first place?
Was Christiaan Barnard glorified for conducting the first heart transplant at the cost of other great heart surgeons who laid the foundation?
In treating Washkansky, what trade-off existed between fighting rejection and fighting infection? Was it ethical on Barnard’s part to risk Washkansky’s death and wait for a definitive diagnosis?
Did Barnard go too far in treating Washkansky against his will? What is the best example to illustrates that?
How did Robert Tools fare with the Abiomed artificial heart? What was the essential problem of titanium artificial hearts?
Who is Dirk van Zyl, and how long did he live with his transplanted heart? How do you think he feels toward Christian Barnard?
In what way was Barney Clark a bad candidate to receive the first Jarvik-7? What kind of patient would have been an ideal candidate?
What problems developed while implanting the Jarvik-7 in Barney Clark?
Why was there a trade-off in treating Barney Clark’s medical problems?
How long did Barney Clark live? What did The New York Times say about how long he “was dying”?
Why did most reporters not understand the problem of post-transplant psychosis and a low quality of life?
After implanting the Jarvik-7, what were the problems faced by William Schroeder and Jake Burcham with regard to the quality of life?
Implications for current day health care issues
Who received the first hand transplant, and where was it performed? What were the unexpected problems with compliance by the patient? How did the case end? Who was the first American patient to get a hand transplant? How did the transplant affect him or her? Approximately how many hand transplants have now been performed in the world?
What was the criterion used to declare Denise Darvall brain-dead? Why did Denise’s heart stop beating?
How did Clark’s case symbolize controversies about the quality of life for heart transplant recipients, such as the definition of quality of life, clots, and the quality of heart valves?
Medicine almost uniformly has judged that artificial hearts are not cost-effective. Should society still encourage the use of artificial hearts or promote a healthier lifestyle?
How did Jarvik and DeVries fare after Barney Clark’s death?
Describe the cases of Jean-Michel Dubernard and Maria Siemionow. Were their transplants successful?
- Assure to discuss positive as well negative of the issue