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Abdominal aortic aneurysms in heart transplanted patients
1Institute of Thoracic and Cardiovascular Surgery, University of Siena, Italy.
Journal Des Maladies Vasculaires
|January 23, 1999
Summary
Abdominal aortic aneurysms do not contraindicate heart transplantation. Screening for aortic dilatation before cardiac transplant is crucial, as these conditions can be safely managed surgically, ensuring successful outcomes.
Area of Science:
- Cardiovascular Surgery
- Transplantation Medicine
- Vascular Surgery
Background:
- Dilatation of the abdominal aorta (AA) is a potential concern in patients undergoing heart transplantation.
- Pre-existing or developing aortic aneurysms may pose risks during or after cardiac surgery.
Purpose of the Study:
- To evaluate whether abdominal aortic aneurysms are a contraindication for heart transplantation.
- To assess the management and outcomes of patients with aortic aneurysms undergoing cardiac transplantation.
Main Methods:
- Retrospective review of 80 heart transplant patients from July 1994 to February 1998.
- Analysis of 3 patients who required abdominal aorta replacement due to infrarenal aortic aneurysms.
- Surgical intervention details, including retroperitoneal approach for aneurysm resection.
Main Results:
- Three patients required abdominal aortic aneurysm resection, either before or after heart transplantation.
- All three patients experienced uneventful postoperative courses following aortic surgery.
- Aneurysms in two patients enlarged significantly after cardiac transplantation, necessitating resection.
Conclusions:
- Screening for aortic dilatation and aneurysms is essential before heart transplantation.
- Aortic aneurysms should not be considered an absolute contraindication to heart transplantation.
- Surgical management of aortic aneurysms in heart transplant candidates can be performed with low risk.