Comparison of standard and bicaval approach in orthotopic heart transplantation: 10-year follow-up

Journal of Cardiovascular Medicine
Antonino M GrandeMario Viganò

Abstract

The present study compared 86 patients who underwent orthotopic heart transplantation by bicaval and standard techniques. Patients already followed in the first year after heart transplantation were studied at 10 years of follow-up, this time evaluating the prevalence of arrhythmias, conduction disturbances and mitral or tricuspid regurgitation. The following arrhythmias were observed: atrial fibrillation (one patient from the standard group), ventricular premature beats and ventricular fibrillation (each in one patient from the bicaval group). Conduction disturbances were found in 25 patients in the standard group (48.1%) and in 19 patients in the bicaval group (55.9%, P = 0.515). Twenty patients had a mono- or bifascicular block in the standard group (38.5%) versus 19 patients in the bicaval group (55.9%); furthermore, five patients in the standard group (9.6%) and none in the bicaval group had a permanent pacemaker (Fisher's exact test: P = 0.074). Mitral regurgitation was present in 13 (26.5%) and five (16.1%) patients, respectively, in the standard and bicaval groups (Fisher's exact test: P = 0.411): it was grade 1 in 12 and five patients and grade 2 in one and zero patients, respectively. Tricuspidal regurgitation was obs...Continue Reading

References

Nov 1, 1991·The Annals of Thoracic Surgery·G DreyfusA F Carpentier
Apr 1, 1991·Current Problems in Cardiology·L W Stevenson, L W Miller
Sep 1, 1990·The American Journal of Cardiology·S M ButmanJ G Copeland
Apr 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·P H DeleuzeD Y Loisance
Nov 24, 1998·Pacing and Clinical Electrophysiology : PACE·G ParryJ M McComb
Oct 30, 1999·The Annals of Thoracic Surgery·T M AzizN A Yonan
Jan 28, 2005·Journal of Cardiac Surgery·Jeffrey A Morgan, Niloo M Edwards

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Citations

Nov 6, 2009·Transplant International : Official Journal of the European Society for Organ Transplantation·Sieglinde KoflerBruno Meiser

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