Survival is increasing after cardiac transplantation due to either the selection of recipient and donor or improvements in surgical technique and immunosuppressive treatment. In this presentation we discuss the reasons for mortality in our cardiac transplantation patients. We performed 27 cardiac transplantations between 2003 and 2007. The mean donor and recipient ages were 24.8 ± 14 (4, 72); 31.1 ± 16 (4-61) years respectively. The mean ischemic and aortic cross clamp times were 222.15 ± 78.2 (108,359) and 85.65 ± 16.12 (62,139) minutes respectively. The 30 day mortality was 11.1% (3 patients). The reasons for early mortality were arrhythmia in one patient, systemic inflammatory response syndrome in another patient and cerebrovascular event in another on. The mean survival period of these patients was 8 (4-11) days. Survival rate in the first 30 days was 88.9%. Life expectancy in patients with end stage cardiac failure and waiting for cardiac transplantation is less than 40%. When considering literature and our experience, we believe that cardiac transplantation is a definitive treatment option in these patients.
Volume : 6
Issue : 4
Pages : 127
Department of Cardiovascular Surgery, Anesthesiology and Cardiology, Baskent University, Faculty of Medicine, Ankara, Turkey