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자료유형
학술저널
저자정보
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.26 No.5
발행연도
2011.1
수록면
599 - 603 (5page)

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초록· 키워드

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Heart transplantation is now regarded as the treatment of choice for end-stage heart failure. To improve long-term results of the heart transplantation, we analyzed causes of death relative to time after transplantation. A total of 201 consecutive patients, 154(76.6%) males, aged ≥ 17 yr underwent heart transplantation between November 1992and December 2008. Mean ages of recipients and donors were 42.8 ± 12.4 and 29.8 ±9.6 yr, respectively. The bicaval anastomosis technique was used since 1999. Mean follow up duration was 6.5 ± 4.4 yr. Two patients (1%) died in-hospital due to sepsis caused by infection. Late death occurred in 39 patients (19.4%) with the most common cause being sepsis due to infection. The 1-, 5-, and 10-yr survival rates in these patients were 95.5% ±1.5%, 86.9% ± 2.6%, and 73.5% ± 4.1%, respectively. The surgical results of heart transplantation in adults were excellent, with late mortality due primarily to infection,malignancy, and rejection. Cardiac deaths related to cardiac allograft vasculopathy were very rare.

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