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Right arrow Transplantation - heart

J Thorac Cardiovasc Surg 2004;127:1817-1819
© 2004 The American Association for Thoracic Surgery


Brief communication

Should heart transplantation be considered as a treatment option for patients aged 70 years and older?

Jeffrey A. Morgan, MDa,*, Ranjit John, MDa, Donna M. Mancini, MDa, Niloo M. Edwards, MDa

a Department of Surgery, Division of Cardiothoracic Surgery, College of Physicians and Surgeons, Columbia University, New York, NY, USA

Received for publication November 27, 2003; accepted for publication December 16, 2003.

* Address for reprints: Jeffrey A. Morgan, MD, Columbia University, College of Physicians and Surgeons, 177 Fort Washington Ave, Milstein Hospital 7GN-435, New York, NY 10032, USA
jm2240@columbia.edu

The first 20% of the full text of this article appears below.

Several studies have demonstrated favorable results after orthotopic cardiac transplantation in recipients of advanced age.1-4 These studies have demonstrated similar survival in elderly patients as compared to that of younger patients undergoing heart transplantation. This has resulted in a relaxation of the upper age limit for cardiac transplantation in many centers. However, some transplant centers continue to view advanced recipient age as a contraindication to transplantation because of concerns regarding decreased survival in this cohort.5-7 This study was conducted to analyze and compare our experiences with older (70 years and older) versus younger (younger than 70 years) recipients with respect to perioperative and long-term survivals.

Patients and methods

Between January 1992 and February 2003, a total of 939 orthotopic cardiac transplants were performed at the New York Presbyterian Hospital–Columbia Medical Center, New York. Of these, 10 (1.1%) were performed in patients 70 years old or older (range 70.2-74.8 years). These patients were compared with patients younger than 70 years (range 18.3-69.8 years) at the time of transplantation. Pediatric . . . [Full Text of this Article]




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