Abstract
Cardiac retransplantation accounts for a small percentage of heart transplants every year. For many patients, cardiac retransplantation is the only option for survival. As survival after heart transplantation continues to improve, this population will likely increase. However, given the paucity of available organs, there is considerable ethical debate over cardiac retransplantation. Waitlist mortality remains high for patients awaiting initial transplant, and survival after retransplantation has varied among retrospective studies. However, recent studies have shown that in carefully selected patients, survival after cardiac retransplantation approaches that of initial heart transplant. Paramount to optimizing the efficacy of cardiac retransplantation and making this lifesaving therapy a viable option in a resource-limited reality is the ability to accurately assess risk factors affecting retransplantation outcomes in order to guide patient selection. In this chapter, the indications, outcomes, risk factors, patient selection, and specific management principles of cardiac retransplantation are discussed.
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Tanna, M.S., Padegimas, A., Wald, J.W. (2020). Retransplantation. In: Bogar, L., Mountis, M. (eds) Contemporary Heart Transplantation. Organ and Tissue Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-319-33280-2_33-1
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DOI: https://doi.org/10.1007/978-3-319-33280-2_33-1
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