[Cardiac transplantation in 2008].
The number of heart transplants in France has begun to increase again in the past few years, albeit slowly. Indications for transplants must be discussed on a case-by-case basis and no contraindication should be considered absolute. Heart transplant results have not been modified by the expansion of the selection criteria for donors. The "super-urgent" list makes it possible to provide transplants for the patients at highest risk of imminent death, with encouraging results. The repercussions of "super-urgent" transplants must be analyzed regularly. Quality of life must be taken into account in the analysis of heart transplant results, just like survival. New circulatory assist devices can be offered to some patients as an alternative to transplantation.
Leprince
Pascal
P
Service de chirurgie thoracique et cardiovasculaire, Institut du coeur, Université Pierre et Marie Curie Parie VI, APHP, Groupe hospitalier Pitié-Salpêtrière F -75013 Paris, France. pascal.leprince@psl.ap-hop-paris.fr
Aubert
Stéphane
S
Varnous
Shaida
S
Makri
Ralouka
R
Niculescu
Michaela
M
Rama
Actar
A
Fernandez
Flore
F
Gandjbakhch
Iradj
I
Pavie
Alain
A
D005260:Female; D005602:France; D016027:Heart Transplantation / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged