Clinical significance of weight difference between donor and recipient in heart transplantation

Autor: G K, Sethi, P, Lanauze, L J, Rosado, C, Huston, M S, McCarthy, S, Butman, J G, Copeland
Rok vydání: 1993
Předmět:
Zdroj: The Journal of thoracic and cardiovascular surgery. 106(3)
ISSN: 0022-5223
Popis: A standard and important criterion for donor acceptance is to match the donor's body weight to within 20% of the recipient's body weight. However, to meet the increasing demand of patients who need heart transplantation, frequently a heart that is below the standard criteria for donation is accepted. Of the 200 consecutive patients who underwent heart transplantation at the University of Arizona, 27 patients received a heart from a smaller donor with a weight difference of more than 30% (range 30% to 46%). The early mortality and late survival of these 27 patients were not different when compared with those of the patients who received transplants from donors with a weight difference of less than 30%. The probability of freedom from rejection and infection and postoperative ejection fraction were also similar between the two groups. Therefore, we believe that the widely accepted donor-recipient weight-match criterion of 20% can be safely extended.
Databáze: OpenAIRE