BACKGROUND: Heart transplantation has become a widely accepted surgical option for end-stage heart failure in Korea since its first success in 1992. We reviewed early postoperative complications and mortality in 239 patients who underwent heart transplantation using bicaval technique in Asan Medical Center. METHODS: Between January 1999 and December 2011, a total of 247 patients aged over 17 received heart transplantation using bicaval technique in Asan Medical Center. After excluding four patients with concomitant kidney transplantation and four with heart-lung transplantation, 239 patients were enrolled in this study. We evaluated their early postoperative complications and mortality. Postoperative complications included primary graft failure, cerebrovascular accident, mediastinal bleeding, renal failure, low cardiac output syndrome requiring intra-aortic balloon pump or extracorporeal membrane oxygenation insertion, pericardial effusion, and inguinal lymphocele. Follow-up was 100% complete with a mean follow-up duration of 58.4±43.6 months. RESULTS: Early death occurred in three patients (1.3%). The most common complications were pericardial effusion (61.5%) followed by arrhythmia (41.8%) and mediastinal bleeding (8.4%). Among the patients complicated with pericardial effusion, only 13 (5.4%) required window operation. The incidence of other significant complications was less than 5%: stroke (1.3%), low cardiac output syndrome (2.5%), renal failure requiring renal replacement (3.8%), sternal wound infection (2.0%), and inguinal lymphocele (4.6%). Most of complications did not result in the extended length of hospital stay except mediastinal bleeding (p=0.034). CONCLUSION: Heart transplantation is a widely accepted option of surgical treatment for end-stage heart failure with good early outcomes and relatively low catastrophic complications.
BACKGROUND: Heart transplantation has become a widely accepted surgical option for end-stage heart failure in Korea since its first success in 1992. We reviewed early postoperative complications and mortality in 239 patients who underwent heart transplantation using bicaval technique in Asan Medical Center. METHODS: Between January 1999 and December 2011, a total of 247 patients aged over 17 received heart transplantation using bicaval technique in Asan Medical Center. After excluding four patients with concomitant kidney transplantation and four with heart-lung transplantation, 239 patients were enrolled in this study. We evaluated their early postoperative complications and mortality. Postoperative complications included primary graft failure, cerebrovascular accident, mediastinal bleeding, renal failure, low cardiac output syndrome requiring intra-aortic balloon pump or extracorporeal membrane oxygenation insertion, pericardial effusion, and inguinal lymphocele. Follow-up was 100% complete with a mean follow-up duration of 58.4±43.6 months. RESULTS: Early death occurred in three patients (1.3%). The most common complications were pericardial effusion (61.5%) followed by arrhythmia (41.8%) and mediastinal bleeding (8.4%). Among the patients complicated with pericardial effusion, only 13 (5.4%) required window operation. The incidence of other significant complications was less than 5%: stroke (1.3%), low cardiac output syndrome (2.5%), renal failure requiring renal replacement (3.8%), sternal wound infection (2.0%), and inguinal lymphocele (4.6%). Most of complications did not result in the extended length of hospital stay except mediastinal bleeding (p=0.034). CONCLUSION: Heart transplantation is a widely accepted option of surgical treatment for end-stage heart failure with good early outcomes and relatively low catastrophic complications.
Authors: Farzan Filsoufi; Parwis B Rahmanian; Javier G Castillo; Sean Pinney; Stafford R Broumand; David H Adams Journal: J Heart Lung Transplant Date: 2007-09-27 Impact factor: 10.247
Authors: Josef Stehlik; Leah B Edwards; Anna Y Kucheryavaya; Christian Benden; Jason D Christie; Anne I Dipchand; Fabienne Dobbels; Richard Kirk; Axel O Rahmel; Marshall I Hertz Journal: J Heart Lung Transplant Date: 2012-10 Impact factor: 10.247
Authors: Heyman Luckraz; Martin Goddard; Susan C Charman; John Wallwork; Jayan Parameshwar; Stephen R Large Journal: J Heart Lung Transplant Date: 2005-04 Impact factor: 10.247
Authors: Einar Gude; Arne K Andreassen; Satish Arora; Lars Gullestad; Ingelin Grov; Anders Hartmann; Torbjørn Leivestad; Arnt E Fiane; Odd R Geiran; Mari Vardal; Svein Simonsen Journal: Clin Transplant Date: 2010 Nov-Dec Impact factor: 2.863
Authors: Ryan R Davies; Mark J Russo; Jeffrey A Morgan; Robert A Sorabella; Yoshifumi Naka; Jonathan M Chen Journal: J Thorac Cardiovasc Surg Date: 2010-06-26 Impact factor: 5.209
Authors: M Carrier; L P Perrault; M Pellerin; R Marchand; P Auger; G B Pelletier; M White; N Racine; D Bouchard Journal: Ann Thorac Surg Date: 2001-09 Impact factor: 4.330
Authors: Hong Rae Kim; Sung-Ho Jung; Junho Yang; Min Su Kim; Tae-Jin Yun; Jae-Joong Kim; Jae Won Lee Journal: Korean J Thorac Cardiovasc Surg Date: 2020-12-05
Authors: Jussara Aparecida Souza do Nascimento Rodrigues; Renata Eloah de Lucena Ferretti-Rebustini; Vanessa de Brito Poveda Journal: Rev Lat Am Enfermagem Date: 2016-08-29