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Updated: Aug 27, 2026

A Porcine Heterotopic Heart Transplantation Protocol for Delivery of Therapeutics to a Cardiac Allograft
Published on: February 14, 2022
Cardiac transplantation in patients aged 60 years or older
L Mischke1, S Sisson, D K Cooper
1Oklahoma Transplantation Institute, Baptist Medical Center of Oklahoma, Oklahoma City 73112, USA.
Insights
Older heart transplant recipients (60+) demonstrated comparable survival rates to younger patients, suggesting careful evaluation and post-transplant care are key for successful outcomes in this age group.
Area of Science:
- Cardiology
- Transplantation Medicine
- Geriatric Medicine
Background:
- Heart transplantation is a critical treatment for end-stage heart failure.
- Patient age is a significant factor influencing transplant outcomes.
- Previous studies indicate poorer survival for older heart transplant recipients.
Purpose of the Study:
- To evaluate the outcomes of heart transplantation in patients aged 60 years or older compared to younger recipients.
- To identify factors contributing to survival rates in older heart transplant recipients.
Main Methods:
- Retrospective review of 184 consecutive heart transplant patients from January 1987 to December 1994.
- Patients were divided into two groups: Group A (≥60 years, n=50) and Group B (<60 years, n=134).
- Survival rates were analyzed at 1, 5, and 8 years post-transplantation.
Main Results:
- Patients aged 60 and older showed improved, though not statistically significant, overall survival compared to younger patients.
- One-year survival: 94% (Group A) vs. 90% (Group B).
- Five-year survival: 86% (Group A) vs. 80% (Group B).
- Eight-year survival: 86% (Group A) vs. 78% (Group B).
Conclusions:
- Older heart transplant recipients at this center achieved favorable survival rates.
- Thorough pre-transplant evaluation and enhanced post-transplant compliance may contribute to positive outcomes in older adults.
- Findings challenge the general trend of inferior survival for older patients in heart transplantation globally.
Abstract:
One hundred eighty-four consecutive patients who underwent heart transplantation from January 1987 to December 1994 have been reviewed. Patients who were 60 years of age or older at the time of transplant (Group A, n = 50) showed improved overall survival when compared with younger patients (Group B, n = 134), though this was not statistically significant. Survivals in groups A and B were 94% and 90%, respectively, at 1 year; 86% and 80% at 5 years; and 86% and 78% at 8 years. Overall survival of older patients in the U.S. and worldwide is inferior when compared with younger patients. More thorough pretransplant evaluation of the older patient and improved compliance post-transplantation may be factors in the good results obtained in this group at our own center.
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