Risk factors for post-transplant low output syndrome

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Tomoyuki FujitaTakeshi Nakatani

Abstract

Due to a serious heart donor shortage, the criteria for acceptance for transplantation have been expanded. This study assesses donor-related factors associated with postoperative low output syndrome (LOS) and long-term survival of recipients. From 1999 to February 2011, 36 heart transplantations were performed at our institute, of which 28 donor hearts (78%) were considered to be marginal due to high inotropic requirement (n = 11), recent episode of cardiac arrest (n = 11), female to male transplantation (n = 11), reduced left ventricular contraction (n = 6), old age (n = 6), small donor heart (n = 5), donor-recipient size mismatch (n = 2), ventricular hypertrophy (n = 2) or prolonged ischaemic time (n = 1). St Thomas solution (n = 6) and Celsior (n = 30) were used for preservation. Ischaemic damage in post-transplant cardiac patients was graded by perioperative ischaemic myocardial injury (PIMI) score (scores 0-3). The donor age was 39 ± 11 years old, which was not significantly different to that of the recipients. 50% of the donors were female. Thirty-three donors (92%) required catecholamine at an average of 8.0 ± 5.2 µg/hg/min and echocardiogram findings showed that left ventricular ejection fraction was 65 ± 10%. All recip...Continue Reading

References

Sep 1, 1995·Journal of the American College of Cardiology·P J MatherA A Bove
Jan 15, 1995·Transplantation·S H PennefatherJ H Dark
Jan 1, 1994·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·P MenaschéG Bloch
Jan 1, 1995·Journal of Cellular Biochemistry. Supplement·J Russo, I H Russo
May 16, 2000·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·D MarelliJ Kobashigawa
Feb 28, 2001·Journal of Cardiac Surgery·J V Conte, W A Baumgartner
Mar 16, 2001·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·J B. YoungJ Kirklin
Mar 16, 2001·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·R JohnS Itescu
Oct 18, 2001·The Annals of Thoracic Surgery·S KitamuraT Yagihara
Jan 23, 2003·The Journal of Thoracic and Cardiovascular Surgery·Hillel LaksUNKNOWN UCLA Heart Tranplant Group
Nov 22, 2005·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Susan StewartMargaret E Billingham
Jun 26, 2007·Circulation Journal : Official Journal of the Japanese Circulation Society·Kyoichi WadaTakeshi Nakatani
Nov 22, 2007·Transplant International : Official Journal of the European Society for Organ Transplantation·Umberto BaccaraniVittorio Bresadola
Dec 8, 2007·Transplant International : Official Journal of the European Society for Organ Transplantation·Thorsten Wittwer, Thorsten Wahlers
Jun 6, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Takeshi Nakatani
Nov 19, 2009·The New England Journal of Medicine·Mark S SlaughterUNKNOWN HeartMate II Investigators
May 14, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alberto ForniGiuseppe Faggian
Jul 14, 2010·Transplantation·Mark J RussoYoshifumi Naka
Sep 28, 2010·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Josef StehlikMarshall I Hertz
Oct 26, 2010·The Annals of Thoracic Surgery·Silvana F MarascoDonald S Esmore
Mar 19, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Cosimo D'AlessandroAlain Pavie

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Citations

Aug 15, 2015·Journal of cardiology·Takeo FujinoMinoru Ono
Apr 1, 2017·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Tomoyuki FujitaJunjiro Kobayashi
Aug 14, 2019·Clinical Transplantation·Marco Aurélio FingerHui Tzu Lin-Wang
Dec 6, 2019·Circulation Journal : Official Journal of the Japanese Circulation Society·Takashi KakutaTomoyuki Fujita

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