Cardiovascular outcomes in solid organ transplant recipients undergoing cardiac surgery: A matched pair analysis
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Wiley
2024
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| author | Kitae Kim Sung‐Ho Jung Hong Rae Kim Jae Suk Yoo Joon Bum Kim Cheol Hyun Chung |
| author_facet | Kitae Kim Sung‐Ho Jung Hong Rae Kim Jae Suk Yoo Joon Bum Kim Cheol Hyun Chung Kitae Kim Sung‐Ho Jung Hong Rae Kim Jae Suk Yoo Joon Bum Kim Cheol Hyun Chung |
| collection | Wiley Open Access |
| contents | Cardiovascular outcomes in solid organ transplant recipients undergoing cardiac surgery: A matched pair analysis Kitae Kim Sung‐Ho Jung Hong Rae Kim Jae Suk Yoo Joon Bum Kim Cheol Hyun Chung Clinical Transplantation AbstractIntroductionThis study aimed to compare postoperative outcomes after cardiac surgery in solid‐organ transplant recipients and nontransplant patients.MethodsWe performed a retrospective analysis of 78 consecutive transplant recipients who underwent cardiac surgery at Asan Medical Center between 2000 and 2022 and were matched with 312 nontransplant patients who underwent cardiac surgery at a 1:4 ratio. The outcomes included 30‐day mortality, all‐cause death, cardiac death, readmission, and cardiac readmission.ResultsThere was no significant difference in baseline characteristics between the two groups. The most common type of cardiac surgery performed in solid organ transplant recipients was isolated valve surgery, followed by isolated CABG. The 30‐day mortality was not significantly different between transplant recipients and nontransplant patients (3.9% vs. 3.5%;P > .99). Solid organ transplant recipients showed a higher all‐cause mortality compared to nontransplant patients (29.1% vs. 14.3% at 5 years;P = .001); however, there was no significant difference in cardiac death between the two groups (2.6% vs. 3.2% at 5 years;P = .80). In addition, the readmission and cardiac readmission rates showed comparable findings to that of mortality.ConclusionCardiac surgery can be performed safely in solid organ transplant recipients, with postoperative cardiovascular outcomes comparable to those observed in nontransplant patients. 10.1111/ctr.15304 http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| doi_str_mv | 10.1111/ctr.15304 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_ctr_15304 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Cardiovascular outcomes in solid organ transplant recipients undergoing cardiac surgery: A matched pair analysis Kitae Kim Sung‐Ho Jung Hong Rae Kim Jae Suk Yoo Joon Bum Kim Cheol Hyun Chung Clinical Transplantation Cardiovascular outcomes in solid organ transplant recipients undergoing cardiac surgery: A matched pair analysis Kitae Kim Sung‐Ho Jung Hong Rae Kim Jae Suk Yoo Joon Bum Kim Cheol Hyun Chung Clinical Transplantation AbstractIntroductionThis study aimed to compare postoperative outcomes after cardiac surgery in solid‐organ transplant recipients and nontransplant patients.MethodsWe performed a retrospective analysis of 78 consecutive transplant recipients who underwent cardiac surgery at Asan Medical Center between 2000 and 2022 and were matched with 312 nontransplant patients who underwent cardiac surgery at a 1:4 ratio. The outcomes included 30‐day mortality, all‐cause death, cardiac death, readmission, and cardiac readmission.ResultsThere was no significant difference in baseline characteristics between the two groups. The most common type of cardiac surgery performed in solid organ transplant recipients was isolated valve surgery, followed by isolated CABG. The 30‐day mortality was not significantly different between transplant recipients and nontransplant patients (3.9% vs. 3.5%;P > .99). Solid organ transplant recipients showed a higher all‐cause mortality compared to nontransplant patients (29.1% vs. 14.3% at 5 years;P = .001); however, there was no significant difference in cardiac death between the two groups (2.6% vs. 3.2% at 5 years;P = .80). In addition, the readmission and cardiac readmission rates showed comparable findings to that of mortality.ConclusionCardiac surgery can be performed safely in solid organ transplant recipients, with postoperative cardiovascular outcomes comparable to those observed in nontransplant patients. 10.1111/ctr.15304 http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| title | Cardiovascular outcomes in solid organ transplant recipients undergoing cardiac surgery: A matched pair analysis |
| topic | Clinical Transplantation |
| url | https://onlinelibrary.wiley.com/doi/10.1111/ctr.15304 |