دورية أكاديمية
Heart transplantation in adults with congenital heart disease: a 17-year single center experience.
| العنوان: | Heart transplantation in adults with congenital heart disease: a 17-year single center experience. |
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| المؤلفون: | Brüls, Samuel, Tchana-Sato, Vincent, Ancion, Arnaud, DESIRON, Quentin, LAVIGNE, Jean-Paul, Defraigne, Jean-Olivier |
| المصدر: | Acta Cardiologica, 78 (2), 188 - 194 (2023-04) |
| بيانات النشر: | Taylor and Francis Ltd., 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Heart transplantation, adulthood, congenital heart disease, heart failure, paediatric, survival, Adult, Humans, Middle Aged, Retrospective Studies, Heart Transplantation, Heart Defects, Congenital/surgery, Heart Defects, Congenital, Cardiology and Cardiovascular Medicine, General Medicine, Human health sciences, Cardiovascular & respiratory systems, Surgery, Sciences de la santé humaine, Systèmes cardiovasculaire & respiratoire, Chirurgie |
| الوصف: | [en] BACKGROUND: Heart transplantation (HTx) in adults with congenital heart disease (ACHD) remains challenging because of structural anomalies and often previous procedure. The aim of this retrospective study was to describe the outcomes of heart transplantation (HTx) in a cohort of ACHD patients at our tertiary centre.PATIENTS AND METHODS: Between January 1993 and December 2010, 223 consecutive adult patients (age > 18 years) underwent HTx at our institution. Fifteen (6.7%) were ACHD patients. Outcomes were reviewed using our institution's HTx database. We looked at 30-day, 1, 5 and 10-years survival, as well as post-transplantation complications.RESULTS: The mean age at HTx of the groups of ACHD was 42 ± 14.4 years, vs 54.2 ± 9.8 years for the non-CHD patients. Prior to transplant, thirteen of the fifteen ACHD had undergone one or more surgical procedures including palliative or corrective open-heart procedures in 66.6% of them. Seven of the fifteen ACHD (47%) required additional surgical procedures at transplantation. The mean follow-up was 95,44 ± 84.3 months. There was no significant difference in survival (ACHD vs non-CHD) at 30 days (87% vs. 90%), 1 year (73% vs. 74.5%) or 5 years (53% vs. 55%). Survival at 10 years was respectively 53% and 41% for ACHD patients and non-CHD patients.CONCLUSION: Despite the surgical challenge, HTx in ACHD has a good long-term result. However, the small sample size of our cohort limits any definitive conclusions. |
| نوع الوثيقة: | journal article http://purl.org/coar/resource_type/c_6501Test article peer reviewed |
| اللغة: | English |
| العلاقة: | https://www.tandfonline.com/doi/pdf/10.1080/00015385.2021.1973773Test; urn:issn:0001-5385; urn:issn:1784-973X |
| DOI: | 10.1080/00015385.2021.1973773 |
| الوصول الحر: | https://orbi.uliege.be/handle/2268/311740Test |
| حقوق: | restricted access http://purl.org/coar/access_right/c_16ecTest info:eu-repo/semantics/restrictedAccess |
| رقم الانضمام: | edsorb.311740 |
| قاعدة البيانات: | ORBi |
| DOI: | 10.1080/00015385.2021.1973773 |
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