Results of emergent versus elective cardiac transplantation procedures.

R. Vijayanagar, P. F. Eckstein, Peter Mckeown, N. Sears, S. Anderson, R. Salas, M. DeSantis

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Twenty-six patients underwent emergent (Group I) and 34 patients elective (Group II) cardiac transplantation (C. Tx.) from June 1985 through June 1989. Age, sex, etiology, presence of diabetes, renal failure and pulmonary artery pressures were comparable for both groups (P greater than 0.5). Twenty-two patients were in New York Heart Association (NYHA) Class IV for Group I and 17 for Group II. Group I included 12 patients on inotropic agents, five on intra-aortic balloon pump (IABP) and one on IABP and cardiopulmonary bypass (CPB). Elective patients were stable at home. Location of the donor heart and mean ischemic times were comparable for both groups. Early mortality (within 30 days) included four patients for Group I and two for Group II. There were four late deaths for Group I patients and six for Group II. Four deaths were due to infection, six to rejection, two to malignancy, two neurological and one each to suicide and multisystem failure. Immunosuppression regimen was similar for both groups. The number and severity of early and late rejection episodes were similar despite blood group crossing in 11 patients for Group I (P less than .01). Incidence of infection was comparable. Favorable lifestyles were comparable, including employment of 12 patients for Group I and 16 for Group II. Cumulative survival for the entire series was 70% at two years. The study indicates that the results of emergent and elective cardiac transplantation procedures are equally gratifying, that mortality is mainly related to rejection and sepsis complications and blood group crossing does not significantly increase the number of rejection episodes.

Original languageEnglish (US)
Pages (from-to)806-808
Number of pages3
JournalJournal of the Florida Medical Association
Volume77
Issue number9
StatePublished - Sep 1 1990
Externally publishedYes

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Heart Transplantation
Blood Group Antigens
Mortality
Renal Artery
Infection
Cardiopulmonary Bypass
Immunosuppression
Suicide
Pulmonary Artery
Renal Insufficiency
Life Style
Sepsis
Tissue Donors
Pressure
Survival
Rejection (Psychology)
Incidence

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Vijayanagar, R., Eckstein, P. F., Mckeown, P., Sears, N., Anderson, S., Salas, R., & DeSantis, M. (1990). Results of emergent versus elective cardiac transplantation procedures. Journal of the Florida Medical Association, 77(9), 806-808.

Results of emergent versus elective cardiac transplantation procedures. / Vijayanagar, R.; Eckstein, P. F.; Mckeown, Peter; Sears, N.; Anderson, S.; Salas, R.; DeSantis, M.

In: Journal of the Florida Medical Association, Vol. 77, No. 9, 01.09.1990, p. 806-808.

Research output: Contribution to journalArticle

Vijayanagar, R, Eckstein, PF, Mckeown, P, Sears, N, Anderson, S, Salas, R & DeSantis, M 1990, 'Results of emergent versus elective cardiac transplantation procedures.', Journal of the Florida Medical Association, vol. 77, no. 9, pp. 806-808.
Vijayanagar R, Eckstein PF, Mckeown P, Sears N, Anderson S, Salas R et al. Results of emergent versus elective cardiac transplantation procedures. Journal of the Florida Medical Association. 1990 Sep 1;77(9):806-808.
Vijayanagar, R. ; Eckstein, P. F. ; Mckeown, Peter ; Sears, N. ; Anderson, S. ; Salas, R. ; DeSantis, M. / Results of emergent versus elective cardiac transplantation procedures. In: Journal of the Florida Medical Association. 1990 ; Vol. 77, No. 9. pp. 806-808.
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