Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Cardiac retransplantation: determining limits

E G Collins1, G J Mozdzierz

  • 1Nursing Service (118S), Edward Hines Jr. Hospital, Department of Veterans Affairs, Hines, IL 60141.

Heart & Lung : the Journal of Critical Care
|May 1, 1993
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Equipment, access and worry about running short of oxygen: Key concerns in the ATS patient supplemental oxygen survey.

Heart & lung : the journal of critical care·2019
Same author

BRAIN ABSCESS WITH UNUSUAL FEATURES: REPORT OF TWO CASES.

British medical journal·2010
Same author

Ear-Nose-Throat Casualties in the Middle East.

British medical journal·2010
Same author

Physiological improvement with moderate exercise in type II diabetic neuropathy.

Electromyography and clinical neurophysiology·2007
Same author

Patients' perspective on the comprehensive preventive health evaluation in veterans with spinal cord injury.

Spinal cord·2005
Same author

Breathing pattern retraining and exercise in persons with chronic obstructive pulmonary disease.

AACN clinical issues·2002
Same journal

Diagnosing heart failure through imaging.

Heart & lung : the journal of critical care·2026
Same journal

Comparative utility of median household income, social vulnerability index, and social deprivation index in predicting heart failure-related emergency department revisits: A multi-hospital cohort study.

Heart & lung : the journal of critical care·2026
Same journal

Predicting in-hospital mortality in AECOPD: A comparison of the mSOFA score with DECAF, Ottawa, and GOLD classifications.

Heart & lung : the journal of critical care·2026
Same journal

Diagnostic accuracy of serological tests and biomarkers for hypersensitivity pneumonitis: A systematic review.

Heart & lung : the journal of critical care·2026
Same journal

Associations of genetic risk factors and air pollution with incident pulmonary embolism: a prospective cohort study in the UK Biobank.

Heart & lung : the journal of critical care·2026
Same journal

Impaired hemostasis in mechanical circulatory support systems: Monitoring with T-TAS® 01, in vitro correction with VWF concentrates, and impact of membrane oxygenators.

Heart & lung : the journal of critical care·2026
See all related articles

Cardiac retransplantation offers lower survival rates than initial heart transplants. Given ethical concerns and limited donor hearts, this study argues against repeat cardiac transplants, advocating for a one-time treatment policy.

Area of Science:

  • Cardiology
  • Transplantation Medicine
  • Medical Ethics

Background:

  • Cardiac transplantation is a viable treatment for end-stage congestive heart failure.
  • A significant disparity exists between the demand for donor hearts and their availability.
  • This imbalance necessitates difficult decisions regarding the allocation of limited resources, including cardiac retransplantation.

Purpose of the Study:

  • To explore decision-making processes concerning cardiac retransplantation.
  • To evaluate the ethical implications of providing repeat cardiac transplants.

Main Methods:

  • Review of existing statistics on cardiac retransplantation outcomes.
  • Ethical analysis based on principles of medical suitability, patient autonomy, and justice.
Keywords:
Analytical ApproachHealth Care Financing AdministrationHealth Care and Public HealthUnited Network for Organ Sharing

Related Experiment Videos

Main Results:

  • Survival rates for patients undergoing cardiac retransplantation are demonstrably lower compared to first-time recipients.
  • The allocation of hearts for retransplantation raises significant ethical questions regarding fairness and equity in access to life-saving procedures.

Conclusions:

  • Cardiac transplantation should be considered a one-time treatment option.
  • Retransplantation is not medically or ethically justifiable due to lower survival rates and resource allocation concerns.
  • A policy limiting cardiac transplantation to a single procedure aligns with principles of justice and optimal resource utilization.