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Heart transplantation in Asia
1Department of Surgery, National Taiwan University Hospital, No. 7, Chung-Shan S. Rd., Taipei, Taiwan, ROC.
Summary
Heart transplantation in Asia has grown significantly since 1987, with results comparable to global standards. This study analyzes Asian heart transplant data from 1987-1996.
Area of Science:
- Cardiology
- Transplant Surgery
- Public Health
Background:
- Heart transplantation in Asia, initiated in 1968, faced cultural barriers until 1987.
- Post-1987, a rapid increase in heart transplant procedures occurred across Asia.
- This study investigates the outcomes of heart transplantation in the Asian region.
Purpose of the Study:
- To evaluate the results and survival rates of heart transplantation in Asia.
- To document the growth and establishment of heart transplant programs in Asian countries.
- To compare Asian heart transplant outcomes with international benchmarks.
Main Methods:
- Data collected via mail questionnaire covering transplant start dates, annual case numbers, recipient demographics (age, sex, diagnosis), donor causes of death, center activity, operative mortality, and survival rates.
- Analysis of data from July 17, 1987, to December 1996.
- Inclusion of information on brain death and organ transplant legislation.
Main Results:
- 380 heart transplantations performed in Asia between 1987 and 1996, with Taiwan (178 cases) and Thailand (95 cases) leading.
- Recipient age range: 1-70 years; male to female ratio 3:1.
- One-month operative mortality averaged 7.4%; one-year survival averaged 78.8%; five-year survival averaged 67.5%.
Conclusions:
- Heart transplantation is well-established in most Asian countries, with increasing procedural numbers.
- Asian heart transplant outcomes and survival rates are comparable to global series.
- The data indicates a successful and growing field of cardiac transplantation in Asia.