Indications, Complications, and Outcomes of Cardiac Surgery After Heart Transplantation: Results From the Cash Study.
cardiac retransplantation
cardiac surgery
cardiac transplantation
heart failure
heart transplantation
Journal
Frontiers in cardiovascular medicine
ISSN: 2297-055X
Titre abrégé: Front Cardiovasc Med
Pays: Switzerland
ID NLM: 101653388
Informations de publication
Date de publication:
2022
2022
Historique:
received:
19
02
2022
accepted:
20
04
2022
entrez:
27
6
2022
pubmed:
28
6
2022
medline:
28
6
2022
Statut:
epublish
Résumé
Allograft pathologies, such as valvular, coronary artery, or aortic disease, may occur early and late after cardiac transplantation. Cardiac surgery after heart transplantation (CASH) may be an option to improve quality of life and allograft function and prolong survival. Experience with CASH, however, has been limited to single-center reports. We performed a retrospective, multicenter study of heart transplant recipients with CASH between January 1984 and December 2020. In this study, 60 high-volume cardiac transplant centers were invited to participate. Data were available from 19 centers in North America ( Cardiac surgery after heart transplantation has low in-hospital mortality and postoperative complications in carefully selected patients. The incidence and type of CASH vary between international centers. Risk factors for the worse outcome are higher European System for Cardiac Operative Risk Evaluation (EuroSCORE II) and postoperative renal failure.
Sections du résumé
Background
Allograft pathologies, such as valvular, coronary artery, or aortic disease, may occur early and late after cardiac transplantation. Cardiac surgery after heart transplantation (CASH) may be an option to improve quality of life and allograft function and prolong survival. Experience with CASH, however, has been limited to single-center reports.
Methods
We performed a retrospective, multicenter study of heart transplant recipients with CASH between January 1984 and December 2020. In this study, 60 high-volume cardiac transplant centers were invited to participate.
Results
Data were available from 19 centers in North America (
Conclusion
Cardiac surgery after heart transplantation has low in-hospital mortality and postoperative complications in carefully selected patients. The incidence and type of CASH vary between international centers. Risk factors for the worse outcome are higher European System for Cardiac Operative Risk Evaluation (EuroSCORE II) and postoperative renal failure.
Identifiants
pubmed: 35756840
doi: 10.3389/fcvm.2022.879612
pmc: PMC9218180
doi:
Types de publication
Journal Article
Langues
eng
Pagination
879612Informations de copyright
Copyright © 2022 Gökler, Aliabadi-Zuckermann, Kaider, Ambardekar, Antretter, Artemiou, Bertolotti, Boeken, Brossa, Copeland, Generosa Crespo-Leiro, Eixeré-Esteve, Epailly, Farag, Hulman, Khush, Masetti, Patel, Ross, Rudež, Silvestry, Suarez, Vest and Zuckermann.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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