Key result
Total orthotopic heart transplantation significantly reduced left atrial size and tricuspid regurgitation at 5-year follow-up compared to the standard technique.
Why the study?
Does the total orthotopic heart transplantation technique improve AV valve competence compared to the standard technique in heart transplant recipients?
Population
297 patients who underwent orthotopic heart transplantation between 1989 and 2003
Comparison
Total orthotopic heart transplantation technique… vs Standard orthotopic heart transplantation…
Design
Cohort
Follow-up
5 years
Authors
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Supports total orthotopic technique for less TR and LA enlargement post-transplant; hypothesis-generating and should not yet change practice.
Cohort (n=297)
No
Does the total orthotopic heart transplantation technique improve AV valve competence compared to the standard technique in heart transplant recipients?
Total orthotopic heart transplantation with bicaval and pulmonary venous anastomosis significantly reduces tricuspid regurgitation and left atrial enlargement compared to the standard technique.
Koch et al. (2005) conducted a cohort in Heart transplantation (n=297). Total orthotopic heart transplantation (TOHT) vs. Standard technique by Lower and Shumway was evaluated on Tricuspid regurgitation and left atrial size. Total orthotopic heart transplantation significantly reduced left atrial size and tricuspid regurgitation at 5-year follow-up compared to the standard technique.
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