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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893

Abstract

RODRIGUEZ CABALLERO, Ida Fabiola et al. Evaluation of results in a series of heart transplant patients: experience at the National Institute of Cardiology. Rev. virtual Soc. Parag. Med. Int. [online]. 2023, vol.10, n.1, pp.123-130. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2023.10.01.123.

We present the experience of the National Institute of Cardiology of a series of cases of patients undergoing heart transplantation between May 2016 and June 2022. Fourteen transplants were performed, 13 of the patients were male. The age ranged between 19 and 62 years. The etiologies were idiopathic heart disease in 57% and valvular heart disease in 21%. Fifty percent was transplanted in INTERMACS 4 (Interagency Registry for Mechanically Assisted Circulatory Support), 21% in INTERMACS 3 and only 28% in INTERMACS 2. Three patients were transplanted with membrane type extracorporeal circulation circulatory support. The most frequent complications were infectious. Hospital mortality was 35.7%. There was one patient who died during follow-up after 5 years of transplantation.

Keywords : heart transplant; dilated cardiomyopathy; immunosuppression therapy.

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