Key result
Abdominal aortic aneurysm resection achieves 100% survival to discharge in heart transplant recipients.
Why the study?
With improved survival after cardiac transplantation, recipients have increased probability of developing extracardiac diseases such as abdominal aortic aneurysms requiring surgery.
Case Report (n=3)
Answers are grounded in this paper and cite their sources.
Successful AAA repair feasible in cardiac transplant recipients; leaves open optimal surveillance amid rising extracardiac disease.
With the improvement of survival rates following cardiac transplantation, the probability of recipients developing extracardiac disease is increased. Three cases are reported of abdominal aortic aneurysm successfully operated on in cardiac allograft recipients 1 to 4 years after transplantation. Indications for transplantation were valvular, idiopathic and ischaemic cardiomyopathy. Post-transplant hypertension and hyperlipidaemia may have played a role in the rapid growth of the aneurysms. Cardiac function and the incidence of graft atherosclerosis were assessed before surgery by coronary angiography. All three patients were discharged from hospital. Abdominal aortic aneurysm resection may be a safe procedure in cardiac transplant patients. In view of the rapid increase in the size of the aneurysms in transplanted patients, careful screening should be performed during follow-up.
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Defraigne et al. (1995) conducted a case report in Abdominal aortic aneurysm in cardiac transplant recipients (n=3). Abdominal aortic aneurysm resection was evaluated on Successful surgery and hospital discharge. Abdominal aortic aneurysm resection was successfully performed in three cardiac transplant recipients, with all three patients surviving to hospital discharge.
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