Orthotopic Heart Transplantation in Different Categories of Patients. Does It Matter?

PurposeThe number of patients undergoing heart transplantation (HT) after a previous sternotomy or LVAD support is increasing. We sought to identify differences in HT outcomes among different preoperative categories patients.MethodsWe reviewed records 266 consecutive who underwent from 10/31/12 10/15/20. Patients had and kidney transplantation, re-transplantation, total artificial were excluded. compared 4 groups: without - virgin chest group; redo as bridge transplant (BTT); initially deemed ineligible destination therapy but converted BTT candidacy (BTTC).ResultsIn patients, 30 day 1-year survival 97% 94.7%, respectively. group older comparison other groups (P =.015) more men (P=.005). BTTC higher body mass index (29.5±4 kg/m2) (27±5 kg/m2), P <.01. Time on was comparable between groups, 724±576 days vs 716±529 days, In group, ICU length stay (LOS) post LOS longer <0.03). However, posttransplant survivals comparable. There trend worse the did not reach significant difference =.104).ConclusionPosttransplant supported average 2 years with conventional HT. Although it statistical significance, lower necessitates consideration risk factors. Among died this 3 diabetes mellitus prolonged driveline infection. Operative complexity may affect within fourth one 37 procedure. The patients. (BTTC). =.104). Posttransplant