期刊
ANNALS OF THORACIC SURGERY
卷 95, 期 1, 页码 179-182出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.athoracsur.2012.09.010
关键词
-
Background. Combined heart-liver transplantation (CHLT) has been utilized as a life-saving procedure in those with end-stage cardiac and hepatic pathology. Techniques and outcomes of this procedure are varied. We sought to review the Cleveland Clinic experience with CHLT. Methods. This study is a retrospective chart review of patients who received simultaneous heart and liver transplantation between January 2006 and December 2012. Results. Five patients received CHLT. The mean age was 49 (+/- 20) years. All cardiac pathology was nonischemic cardiomyopathy, with a mean ejection fraction of 0.36 (+/- 0.13). Three of the 5 were on preoperative inotropic support, 1 of which required placement of a total artificial heart for support pretransplant. Liver pathology was amyloid in 1 patient and hepatitis C in the remaining 4. Mean Model for End-Stage Liver Disease score was 17 (+/- 5), and mean Childs-Pugh score was 8 (+/- 1). Survival, now at a mean of 38 (+/- 20) months remains 100%, with no cardiac or hepatic graft dysfunction or episodes of rejection. One hospital readmission was required for gastroenteritis at 15 months posttransplant. Conclusions. These results suggest that excellent outcomes can be achieved in this extremely sick cohort of patients, and add to the growing literature of perioperative management of CHLT recipients. (Ann Thorac Surg 2013;95:179-82) (C) 2013 by The Society of Thoracic Surgeons
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据