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dc.contributor.authorGökler, Johannes
dc.contributor.authorAliabadi-Zuckermann, Arezu Z.
dc.contributor.authorKaider, Alexandra
dc.contributor.authorAmbardekar, Amrut V.
dc.contributor.authorAntretter, Herwig
dc.contributor.authorArtemiou, Panagiotis
dc.contributor.authorBertolotti, Alejandro M.
dc.contributor.authorBoeken, Udo
dc.contributor.authorBrossa, Vicens
dc.contributor.authorCopeland, Hannah
dc.contributor.authorCrespo-Leiro, María Generosa
dc.contributor.authorEixeré-Esteve, Andrea
dc.contributor.authorEpailly, Eric
dc.contributor.authorFarag, Mina
dc.contributor.authorHulman, Michal
dc.contributor.authorKhush, Kiran K.
dc.contributor.authorMasetti, Marco
dc.contributor.authorPatel, Jignesh
dc.contributor.authorRoss, Heather J.
dc.contributor.authorRudez, Igor
dc.contributor.authorSilvestry, Scott
dc.contributor.authorMartín Suárez, Sofía
dc.contributor.authorVest, Amanda
dc.contributor.authorZuckermann, Andreas O.
dc.date.accessioned2022-09-12T08:38:13Z
dc.date.available2022-09-12T08:38:13Z
dc.date.issued2022-06-09
dc.identifier.citationGökler J, Aliabadi-Zuckermann AZ, Kaider A, Ambardekar AV, Antretter H, Artemiou P, Bertolotti AM, Boeken U, Brossa V, Copeland H, Generosa Crespo-Leiro M, Eixeré-Esteve A, Epailly E, Farag M, Hulman M, Khush KK, Masetti M, Patel J, Ross HJ, Rudež I, Silvestry S, Suarez SM, Vest A, Zuckermann AO. Indications, Complications, and Outcomes of Cardiac Surgery After Heart Transplantation: Results From the Cash Study. Front Cardiovasc Med. 2022 Jun 9;10:879612.es_ES
dc.identifier.issn2297-055X
dc.identifier.urihttp://hdl.handle.net/2183/31560
dc.description.abstract[Abstract] 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 (n = 7), South America (n = 1), and Europe (n = 11), with a total of 110 patients. A median of 3 (IQR 2-8.5) operations was reported by each center; five centers included ≥ 10 patients. Indications for CASH were valvular disease (n = 62), coronary artery disease (CAD) (n = 16), constrictive pericarditis (n = 17), aortic pathology (n = 13), and myxoma (n = 2). The median age at CASH was 57.7 (47.8-63.1) years, with a median time from transplant to CASH of 4.4 (1-9.6) years. Reoperation within the first year after transplantation was performed in 24.5%. In-hospital mortality was 9.1% (n = 10). 1-year survival was 86.2% and median follow-up was 8.2 (3.8-14.6) years. The most frequent perioperative complications were acute kidney injury and bleeding revision in 18 and 9.1%, respectively. 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.es_ES
dc.language.isoenges_ES
dc.publisherFrontierses_ES
dc.relation.urihttps://doi.org/10.3389/fcvm.2022.879612es_ES
dc.subjectCardiac retransplantationes_ES
dc.subjectCardiac surgeryes_ES
dc.subjectCardiac trasnplantationes_ES
dc.subjectHeart failurees_ES
dc.subjectHeart transplantationes_ES
dc.titleIndications, complications, and outcomes of cardiac surgery after heart transplantation: results from the cash studyes_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.rights.accessinfo:eu-repo/semantics/openAccesses_ES
UDC.journalTitleFrontiers in Cardiovascular Medicinees_ES
UDC.volume10es_ES
UDC.startPage879612es_ES


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