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Updated: Jul 18, 2026
07:27
Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Is an emergency heart transplantation justified?
A González1, A Adsuar, A Hernández
1Hospital Universitario Virgen Del Rocio, Seville, Spain. antoniogc_77@hotmail.com
Transplantation Proceedings
|November 14, 2006
Summary
Emergency heart transplantation outcomes are comparable to elective procedures in the short term, with slightly higher 5-year mortality. Careful donor and recipient selection is crucial for improving results in urgent heart transplants.
Area of Science:
- Cardiology
- Transplantation Surgery
- Medical Outcomes Research
Background:
- Emergency heart transplantation is controversial due to donor scarcity and historically inferior outcomes.
- Recipients often have severe clinical status and suboptimal donors.
- It remains a critical option for end-stage heart failure unresponsive to other treatments.
Purpose of the Study:
- To compare outcomes of emergency versus elective heart transplantation.
- To analyze preoperative, surgical, and survival variables between the two groups.
Main Methods:
- Retrospective analysis of 213 cardiac transplantations performed up to December 2004.
- Comparison of emergency and elective transplant groups based on various parameters.
Main Results:
- Emergency recipients were more frequently New York Heart Association class IV, had renal dysfunction, and were women.
- Donors for emergency transplants were more often over 40 years old.
- No significant differences in early or first-year mortality/morbidity, but higher 5-year mortality in the emergency group.
Conclusions:
- Emergency heart transplantation yields only slightly worse results than elective procedures.
- Careful selection of both donors and recipients is essential for optimizing outcomes in emergency heart transplantation.
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