Fausto Silva, 73, came second in the list of priorities for a heart transplant, but the presenter could be transplanted this Sunday (27) after the patient’s transplant team, who was at the top of the list, rejected the organ. The information comes from the Transplant Center of the State of São Paulo.
According to Central, the heart was donated in the early hours of this Sunday. The São Paulo State Department of Health’s computerized system located 12 patients who qualified for the transplant, four of whom were considered priority Fausto second.
The organ was offered to the patient sitting upstairs, but the patient’s transplant team refused the heart — The secretariat did not provide the reason for the refusal. It should be noted that refusals may occur due to possible incompatibility between recipient and donor.
“The selection made by the computerized management system of the state transplant system for offering this recipient’s heart identified 12 patients who met the requirements. Of these, four were prioritized, and the patient took second place in that selection,” says Central.
The center also shared the waiting time for a heart transplant for recipients of blood group B, which is the case with Faustão, is between one and three months. However, patients with serious health problems, like the moderator, greatly reduce the waiting time due to the risk of death.
The explanation of Faustão’s transplant comes at the same time as comments on social networks asking how quickly the presenter received the heart. “Being rich must feel pretty good,” one user wrote, while another posted, “Never doubt the spending power of a billionaire.”
In response to this news, João Guilherme, the moderator’s son, republished a post by his friend Enzo Celulari: “1 We continue to pray for the speedy recovery of our dear Fausto after the successful transplant. 2 Educate yourself before you judge.”
The announcement of Faustão joining the SUS heart transplant queue came seven days ago, on August 20.
transplanted Faustão
Fausto Silva was hospitalized at Albert Einstein Hospital in São Paulo since August 5 and underwent surgery on August 27 to receive the new heart. The presenter was on dialysis and needed medication to support his heartbeat, which put him on the priority list.
“The intervention was successfully performed and Fausto Silva remains in the intensive care unit because the next few hours are important to monitor the adaptation and rejection control of the organ,” Albert Einstein Hospital.
According to Einstein, the São Paulo State Transplant Center contacted the hospital early Sunday to inform about the heart to be transplanted in the moderator. After assessing the compatibility of the organ, the operation was performed, which lasted about 2 hours and 30 minutes.
They are looking for Luciana, Faustão’s wife, and João Guilherme, The presenter’s son said they will not comment at this time.
The report asked Albert Einstein Hospital about the city and state where the organ came from, and also whether there were any risks after the surgery. The hospital said it could only report what was disclosed in the medical bulletin for now. The hospital also said it could not provide any more information after being asked that Faustão’s donor was a 35yearold man.
After the operation, the Ministry of Health stated that Faustão was a priority patient for the transplant due to the severity of the case. According to the brochure, between August 19 and 26, 11 people in the country underwent heart transplants, seven of them in São Paulo, the state with the highest number of transplants in Brazil.
The Ministry of Health also stated that the transplant waiting list is the same on both public and private networks. The order of preferences follows technical criteria where blood type, weight and size compatibility, genetic compatibility, and different severity criteria for each organ determine the order of patients to be transplanted.
How does the donation work?
In Brazil, heart donation depends solely on the approval of the relatives of a braindead person. According to the ABTO (Brazilian Association of Organ Transplants), brain death is defined as “death due to the absence of all neurological function”, ie it is permanent and irreversible.
One of the difficulties in heart transplantation is precisely the decision of the donor’s family. The refusal rate for organ donation in the country is historically high, according to the Ministry of Health: 43%.
A single deceased donor can save more than eight lives. It is possible to donate heart, lungs, liver, kidneys, pancreas, cornea, intestines, skin, bones and heart valves.
compulsory exams. Once the donation has been approved, a blood sample will be taken to analyze the presence of antibodies to HIV, hepatitis B and C, HTLV, syphilis, Chagas disease, cytomegalovirus and toxoplasmosis. After the tests, the donor will be referred for organ harvesting.
Learn more about the criteria for organ donation
In order for the transplant to take place, the doctor must register the patient on the individual list, which is fully controlled by SUS (Health Unic system). In addition, the data entered into the queue does not reveal which patients are involved in the private environment or in the public network.
More than 90% of operations are performed by SUS, but patients who wish to do so can perform the procedure in the private network with the doctor of their choice. Irrespective of the election, the organ will continue to be financed by the public body.
“The transplant queue is a common queue, whether the patient entered it through the SUS or the health insurance plan. There are clearly defined criteria to determine when it is the patient’s turn. The basic criterion is the queue time. However, there are situations where the patient cannot wait and must continue, always due to gravity.” Guilherme Viganó, cardiologist.
Some organs can be donated by a living donor., but most are simply from a person who is already deceased. In this case, the potential donor’s family must consent to the procedure.
After approval, a blood test is performed to determine the presence of antibodies to HIV, hepatitis B and C, HTLV, syphilis, Chagas disease, cytomegalovirus and toxoplasmosis, in addition to general tests that mainly examine the liver and kidneys.
Donation is also excluded in the presence of some types of malignant tumors, severe infectious diseases and infectious diseases.
Only after confirming that the organs are healthy is the donor referred for harvesting surgery.
In life, a person can donate a kidney, a bone marrow, part of the liver and part of the lung (in exceptional circumstances).
A deceased donor can help more than eight peopleDonation of heart, lungs, liver, kidneys, pancreas, cornea, intestine, skin, bones and heart valves.
The list registered by SUS follows the chronological order of registrationbut there are other criteria besides the waiting time, such as the severity of the case and blood and genetic compatibility with the donor.
When an organ is donated, the state transplant center is notified and put on the waiting list to select the most suitable patients.
The decision criteria differ depending on the type of organ or tissue.
Children also have priority.