Cardiac Surgery after Heart Transplantation - Elective Operation or Last Exit Strategy?

Goekler, J.; Aliabadi, A.; Salameh, O.; Haberl, T.; Uyanik-Ünal, Keziban; Laufer, Günther; Zuckermann, Andreas

doi:10.1016/j.healun.2016.01.831

Cited by 2 publications

(2 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A global shortage of donor organs may lead to the acceptance of marginal donor organs. These may present with preexisting pathologies, which potentially increase the risk for CAV [5]. Annual or biannual coronary angiography remains the gold standard for the detection of CAV [4].…”

Section: Discussionmentioning

confidence: 99%

Transplanted stents: a case report

Kainz

Wallner

Uyanik-Uenal

et al. 2020

BMC Cardiovasc Disord

View full text Add to dashboard Cite

Background: An optimal donor work-up to exclude preexisting conditions is recommended, but urgency and technical equipment in donor centers must be considered. We report a case of two coronary stents present in the donor heart and the related long-term outcome. Case presentation: A 59-year-old European male patient suffering from dilated cardiomyopathy with severely reduced left ventricular function and presenting with NYHA III underwent cardiac transplantation in 2004. At the one-year follow-up, during routine cardiac catheterization, two stents were found, one in the right coronary artery and one in the circumflex artery, in the patient's transplanted heart. As no stent implantation was performed since transplantation, these were present prior to transplantation and had been transplanted without causing clinical signs. One of the stents showed in-stent restenosis, and the patient received an additional stent 7 years after transplantation. The other stent still showed a good result, and no further intervention has been required so far. The patient is currently in good clinical condition. Conclusion: This is the first case report of favorable long-term stented coronary arteries prior to transplantation. This case highlights the importance of the donor work-up and meticulous palpation of the coronary arteries during donor evaluation.

show abstract

Section: Discussionmentioning

confidence: 99%

Transplanted stents: a case report

Kainz

Wallner

Uyanik-Uenal

et al. 2020

BMC Cardiovasc Disord

View full text Add to dashboard Cite

show abstract

“…As patient survival after cardiac transplantation has improved over the course of the last several decades, clinicians are now faced with late complications. Although the incidence of cardiac surgery following cardiac transplantation is low overall, the valvular disease is the most common indication for surgical intervention 1,2 . This includes aortic stenosis which, traditionally, has been treated with reoperative sternotomy and aortic valve replacement.…”

Section: Introductionmentioning

confidence: 99%

Transcatheter aortic valve replacement 24 years after cardiac transplantation

et al. 2020

View full text Add to dashboard Cite

As patient survival after cardiac transplantation has improved over the course of the last several decades, clinicians are now faced with late complications. This includes aortic stenosis which, traditionally, has been treated with reoperative sternotomy and aortic valve replacement. Transcather aortic valve replacement (TAVR) offers a minimally invasive alternative in this high‐risk population. A small but growing number of cases of TAVR after heart transplantation in high‐risk patients have been reported in the last 10 years; we now present a case of aortic valve replacement via a transcatheter approach 24 years after cardiac transplantation.

show abstract

Cardiac Surgery after Heart Transplantation - Elective Operation or Last Exit Strategy?

Cited by 2 publications

References 45 publications

Transplanted stents: a case report

Transplanted stents: a case report

Transcatheter aortic valve replacement 24 years after cardiac transplantation

Contact Info

Product

Resources

About