Cardiovascular outcomes in solid organ transplant recipients undergoing cardiac surgery: A matched pair analysis.
Clin Transplant
; 38(4): e15304, 2024 04.
Article
em En
| MEDLINE
| ID: mdl-38591111
ABSTRACT
INTRODUCTION:
This study aimed to compare postoperative outcomes after cardiac surgery in solid-organ transplant recipients and nontransplant patients.METHODS:
We performed a retrospective analysis of 78 consecutive transplant recipients who underwent cardiac surgery at Asan Medical Center between 2000 and 2022 and were matched with 312 nontransplant patients who underwent cardiac surgery at a 14 ratio. The outcomes included 30-day mortality, all-cause death, cardiac death, readmission, and cardiac readmission.RESULTS:
There was no significant difference in baseline characteristics between the two groups. The most common type of cardiac surgery performed in solid organ transplant recipients was isolated valve surgery, followed by isolated CABG. The 30-day mortality was not significantly different between transplant recipients and nontransplant patients (3.9% vs. 3.5%; P > .99). Solid organ transplant recipients showed a higher all-cause mortality compared to nontransplant patients (29.1% vs. 14.3% at 5 years; P = .001); however, there was no significant difference in cardiac death between the two groups (2.6% vs. 3.2% at 5 years; P = .80). In addition, the readmission and cardiac readmission rates showed comparable findings to that of mortality.CONCLUSION:
Cardiac surgery can be performed safely in solid organ transplant recipients, with postoperative cardiovascular outcomes comparable to those observed in nontransplant patients.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transplante de Órgãos
/
Procedimentos Cirúrgicos Cardíacos
Limite:
Humans
Idioma:
En
Revista:
Clin Transplant
Assunto da revista:
TRANSPLANTE
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Coréia do Sul