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The Journal of Thoracic and Cardiovascular Surgery, Vol 106, 444-448, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
GK Sethi, P Lanauze, LJ Rosado, C Huston, MS McCarthy, S Butman and JG Copeland
A standard and important criterion for donor acceptance is to match the
donor's body weight to within 20% of the recipient's body weight. However,
to meet the increasing demand of patients who need heart transplantation,
frequently a heart that is below the standard criteria for donation is
accepted. Of the 200 consecutive patients who underwent heart
transplantation at the University of Arizona, 27 patients received a heart
from a smaller donor with a weight difference of more than 30% (range 30%
to 46%). The early mortality and late survival of these 27 patients were
not different when compared with those of the patients who received
transplants from donors with a weight difference of less than 30%. The
probability of freedom from rejection and infection and postoperative
ejection fraction were also similar between the two groups. Therefore, we
believe that the widely accepted donor- recipient weight-match criterion of
20% can be safely extended.
ARTICLES
Clinical significance of weight difference between donor and recipient in heart transplantation
Division of Cardiovascular and Thoracic Surgery, University of Arizona Heart Center, Tucson 85724.
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A. Kadner, R. H. Chen, and D. H. Adams Heterotopic heart transplantation: experimental development and clinical experience Eur. J. Cardiothorac. Surg., April 1, 2000; 17(4): 474 - 481. [Abstract] [Full Text] [PDF] |
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