Abstract
Background. The intermediate and long-term results of cardiac transplantation continue to improve. Subsequent cardiac procedures may be required to extend patient survival and protect graft function. Methods. The medical records of all adult and pediatric cardiac transplant recipients who underwent a subsequent cardiac procedure at our institution were reviewed. Results. Three hundred sixty patients have undergone primary orthotopic transplantation in our institution. Seventeen patients (12 adults, 5 children) underwent a subsequent procedure requiring cardiopulmonary by-pass including cardiac retransplantation (10), coronary artery bypass grafting (3), ascending aortic replacement (2), tricuspid valve repair (1), and myotomy and myomectomy (1 patient). Mean interval from time of transplantation to second procedure was 8.3 years. There was one perioperative death. Two patients, both retransplants, died late postoperatively at 22 and 84 months, respectively. Overall mean follow-up in the late survivors is 26.6 months. All survivors are currently asymptomatic and doing well. Conclusions. A variety of subsequent cardiac procedures, in addition to retransplantation, can be performed safely in carefully selected cardiac transplant recipients. The intermediate term results are gratifying in terms of survival and freedom from symptoms.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 534-537 |
| Number of pages | 4 |
| Journal | Annals of Thoracic Surgery |
| Volume | 73 |
| Issue number | 2 |
| DOIs | |
| State | Published - 2002 |
| Externally published | Yes |
Fingerprint
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
Cite this
Late cardiac reoperation after cardiac transplantation. / Reddy, V. Seenu; Phan, Ho H; Pierson, Richard N.; Drinkwater, Davis C.; Chang, Paul A.; Davis, Stacy F.; Merrill, Walter H.
In: Annals of Thoracic Surgery, Vol. 73, No. 2, 2002, p. 534-537.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Late cardiac reoperation after cardiac transplantation
AU - Reddy, V. Seenu
AU - Phan, Ho H
AU - Pierson, Richard N.
AU - Drinkwater, Davis C.
AU - Chang, Paul A.
AU - Davis, Stacy F.
AU - Merrill, Walter H.
PY - 2002
Y1 - 2002
N2 - Background. The intermediate and long-term results of cardiac transplantation continue to improve. Subsequent cardiac procedures may be required to extend patient survival and protect graft function. Methods. The medical records of all adult and pediatric cardiac transplant recipients who underwent a subsequent cardiac procedure at our institution were reviewed. Results. Three hundred sixty patients have undergone primary orthotopic transplantation in our institution. Seventeen patients (12 adults, 5 children) underwent a subsequent procedure requiring cardiopulmonary by-pass including cardiac retransplantation (10), coronary artery bypass grafting (3), ascending aortic replacement (2), tricuspid valve repair (1), and myotomy and myomectomy (1 patient). Mean interval from time of transplantation to second procedure was 8.3 years. There was one perioperative death. Two patients, both retransplants, died late postoperatively at 22 and 84 months, respectively. Overall mean follow-up in the late survivors is 26.6 months. All survivors are currently asymptomatic and doing well. Conclusions. A variety of subsequent cardiac procedures, in addition to retransplantation, can be performed safely in carefully selected cardiac transplant recipients. The intermediate term results are gratifying in terms of survival and freedom from symptoms.
AB - Background. The intermediate and long-term results of cardiac transplantation continue to improve. Subsequent cardiac procedures may be required to extend patient survival and protect graft function. Methods. The medical records of all adult and pediatric cardiac transplant recipients who underwent a subsequent cardiac procedure at our institution were reviewed. Results. Three hundred sixty patients have undergone primary orthotopic transplantation in our institution. Seventeen patients (12 adults, 5 children) underwent a subsequent procedure requiring cardiopulmonary by-pass including cardiac retransplantation (10), coronary artery bypass grafting (3), ascending aortic replacement (2), tricuspid valve repair (1), and myotomy and myomectomy (1 patient). Mean interval from time of transplantation to second procedure was 8.3 years. There was one perioperative death. Two patients, both retransplants, died late postoperatively at 22 and 84 months, respectively. Overall mean follow-up in the late survivors is 26.6 months. All survivors are currently asymptomatic and doing well. Conclusions. A variety of subsequent cardiac procedures, in addition to retransplantation, can be performed safely in carefully selected cardiac transplant recipients. The intermediate term results are gratifying in terms of survival and freedom from symptoms.
UR - http://www.scopus.com/inward/record.url?scp=0036159461&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036159461&partnerID=8YFLogxK
U2 - 10.1016/S0003-4975(01)03337-9
DO - 10.1016/S0003-4975(01)03337-9
M3 - Article
C2 - 11845870
AN - SCOPUS:0036159461
VL - 73
SP - 534
EP - 537
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
SN - 0003-4975
IS - 2
ER -