oa Cardiovascular Journal of Africa - Results of cardiac transplantation at Groote Schuur Hospital in patients aged 20 years or younger

Volume 3, Issue 4
  • ISSN : 1995-1892
  • E-ISSN: 1680-0745



Since the first cardiac transplant operation in Cape Town in 1967 the annual total number of cardiac transplants worldwide has increased, except over the last few years when a plateau has been noted. Despite thJs, the numbers of cases involving young patients have continued to rise, mainly owing to an increase in the numbers in the younger age groups and tbe fact tbat cardiac transplantation is now also perionned In patients with complex congenital cardiac abnormalities where the resuJts of conventional surgical procedures are unsatisfactory. That this does not seem to be the situation at Groote Schuur Hospital, Cape Town, prompted a review of our results In patients aged 20 years and younger. There was no operative mortality. The actuarial survival of patients at 1 year was 9Z,8% and at 5 years 72,4%. The actuarial graft survival for this group of patients was 94% at 1 year and 68,8% at 5 years. Analysing patients accepted for transplantation in the period between 1988 and 1990, it was found that all patients aged 30 years or younger underwent operation. A simuJtaneous review of potential donors referred to Groote Schuur Hospital indicated that there is a sufficient donor-organ supply for young patients in this country.

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