Cardiac retransplantation and mechanical circulatory support

  • D. Loisance
Part of the Transplantation and Clinical Immunology book series (TRAC, volume 29)


Indication for a repeat cardiac transplantation is not an infrequent situation [1]. The risks of the retransplantation are significantly higher than the risk of the first operation [2]. The increasing difficulty for a patient listed for a first transplantation to receive a good donor graft within a reasonable period of time, the attempt in most of the cardiac transplant centers to optimize as much as possible the use of the scarce donor grafts explain the difficulties for a patient selected for a retransplantation to actually receive a graft. This situation justifies an analysis of the real possibilities of mechanical circulation support as an alternative to a retransplantation.


Mechanical Circulatory Support Heart Lung Transplant Total Artificial Heart Primary Graft Failure Cardiac Rejection 


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© Kluwer Academic Publishers 1997

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  • D. Loisance

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