Long conservation organs in heart transplantation: postoperative results and long-term follow-up in fourteen patients.
Between 1988 and 1995, 14 heart transplantations were performed after a long preservation period (10 to 13 hours). The transplantation procedure (Shumway) was standard, and our results were achieved through the implementation of a very strict reperfusion technique that included low pressure and low cardiopulmonary bypass output for the first 10 minutes. Three patients died during the postoperative period, and the survival rate was 75% at 1 year and 71% at 5 years. The results obtained with hearts stored for such long periods are comparable to the results obtained with hearts stored for less than 4 hours.
Obadia
J F
JF
Department of Cardiothoracic and Vascular Surgery, Hospices Civils de Lyon, Hôpital Cardiologique Louis Pradel, France.
Girard
C
C
Ferrara
R
R
Chuzel
M
M
Chassignolle
J F
JF
Dureau
G
G
D000293:Adolescent; D000328:Adult; D002423:Cause of Death; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection / Q000401:mortality*; D016027:Heart Transplantation / Q000401:mortality*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009926:Organ Preservation; D011183:Postoperative Complications / Q000401:mortality*; D015996:Survival Rate; D013997:Time Factors