| Autor: |
Maximilian Franz, Thierry Siemeni, Khalil Aburahma, Pavel Yablonski, Reza Poyanmehr, Murat Avsar, Dmitry Bobylev, Wiebke Sommer, Dietmar Boethig, Mark Greer, Jens Gottlieb, Igor Tudorache, Marius M Hoeper, Gregor Warnecke, Axel Haverich, Christian Kuehn, Fabio Ius, Jawad Salman |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. 62(2) |
| ISSN: |
1873-734X |
| Popis: |
OBJECTIVES The management of severe coronary artery disease at the time of a lung transplant remains a challenge. We analysed the short- and long-term outcomes of lung transplant recipients with severe coronary artery disease. METHODS Records of adult patients who received transplants at our institution between April 2010 and February 2021 were reviewed retrospectively. Severe coronary artery disease was defined as coronary stenosis ≥70% (main stem ≥50%) seen on the coronary angiographic scans performed before or at the time of listing. Patient characteristics, perioperative and long-term outcomes were compared between patients with and without severe coronary artery disease. RESULTS Among 896 patients who received lung transplants who had undergone coronary angiography before the transplant, 77 (8.5%) had severe coronary artery disease; the remaining 819 (91.5%) did not. Patients with severe coronary artery disease were older (p CONCLUSIONS Severe coronary artery disease was not associated with decreased survival after a lung transplant. Concomitant coronary artery bypass graft surgery and pretransplant percutaneous transluminal coronary angioplasty can be used for revascularization. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
