PMID- 17445559
OWN - NLM
STAT- MEDLINE
DCOM- 20070719
LR  - 20220318
IS  - 0041-1345 (Print)
IS  - 0041-1345 (Linking)
VI  - 39
IP  - 3
DP  - 2007 Apr
TI  - Heart transplantation in chile: preliminary report from the Gustavo Fricke 
      hospital in Vina del Mar.
PG  - 619-21
AB  - OBJECTIVE: The aim of this study was to analyze our results as the national 
      reference center of the public health network in Chile. PATIENTS AND METHODS: 
      Retrospective analysis of all transplantations performed between 1998 and 2005 
      was done and actuarial survival estimates were calculated according to 
      Kaplan-Meier. RESULTS: Heart transplantations were performed in 25 patients of 
      mean age 43 +/- 11.2 years. Eight patients (32%) were transplanted from a 
      national priority list; all patients were under intensive care support with 
      inotropic therapy, 4 were mechanically ventilated, and 1 required an intra-aortic 
      counter pulsation balloon. The average time on the waiting list was 145 days in 
      nonurgent cases and 9.4 days in urgent ones. Perioperative mortality occurred in 
      1 patient (4%) due to primary graft failure; 2 patients died due to infectious 
      complications during the first year of follow-up; and 1 died due to a 
      non-cytomegalovirus (CMV) infection at 51 months after transplantation. Two 
      patients developed acute rejection with full recovery. The most common 
      morbidities in the current series were hypertension (71%); hyperlipidemia (71%); 
      renal dysfunction (24%); diabetes (10%); and vasculopathy (10%). Actuarial 
      survival rates were 87.2% and 74.7% at 12 and 86 months, respectively. At 7 years 
      follow-up, 20 patients were in New York Heart Association (NYHA) Class I and one 
      Class II. CONCLUSION: Our heart transplantation program showed comparable results 
      in the short and midterm follow-up when compared with other international 
      reports, confirming that heart transplantation is an excellent therapeutic option 
      for patients with end-stage heart failure.
FAU - Aranguiz-Santander, E
AU  - Aranguiz-Santander E
AD  - Department of Cardiovascular Surgery, Gustavo Fricke Hospital, Vina del Mar, and 
      the University of Valparaiso, Valparaiso, Chile. eransant@hotmail.com
FAU - Merello, L
AU  - Merello L
FAU - Pedemonte, O
AU  - Pedemonte O
FAU - Torres, H
AU  - Torres H
FAU - Vera, A
AU  - Vera A
FAU - Alburquerque, J
AU  - Alburquerque J
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Transplant Proc
JT  - Transplantation proceedings
JID - 0243532
SB  - IM
MH  - Adult
MH  - Chile
MH  - Community Networks
MH  - Heart Transplantation/mortality/*statistics & numerical data
MH  - Humans
MH  - Middle Aged
MH  - Postoperative Complications/classification
MH  - Retrospective Studies
MH  - Survival Analysis
MH  - Time Factors
MH  - Treatment Failure
MH  - Treatment Outcome
MH  - Waiting Lists
EDAT- 2007/04/21 09:00
MHDA- 2007/07/20 09:00
CRDT- 2007/04/21 09:00
PHST- 2007/04/21 09:00 [pubmed]
PHST- 2007/07/20 09:00 [medline]
PHST- 2007/04/21 09:00 [entrez]
AID - S0041-1345(06)01571-5 [pii]
AID - 10.1016/j.transproceed.2006.12.024 [doi]
PST - ppublish
SO  - Transplant Proc. 2007 Apr;39(3):619-21. doi: 10.1016/j.transproceed.2006.12.024.