• I J Sánchez-Lázaro, L Almenar-Bonet, L Martínez-Dolz, F Buendía-Fuentes, J Agüero, J Navarro-Manchón, R Raso-Raso, and A Salvador-Sanz.
• Heart Failure and Transplant Unit, Cardiology Department, Hospital Universitario La Fe, Valencia, Spain. igsania@comv.es
• Transplant. Proc. 2010 Oct 1; 42 (8): 3091-2.

Introduction And AimsThe shortage of donor organs has prompted increased acceptance of hearts from donors with more comorbidities. With increasing frequency, hearts are being offered from patients who have undergone a resuscitated cardiac arrest (RCA). Our aim was to compare the rate of complications in the postoperative and follow-up periods, depending on whether the transplanted organ came from a donor who had undergone an RCA.Materials And MethodsWe included all 604 heart transplantations (HTs) performed in our center from 1987 to 2009, including 25 recipients who received an organ from a donor who had undergone RCA. We considered RCA to be an in-hospital cardiac arrest that was resuscitated from the onset, with a duration of <30 minutes, and with total recovery of cardiac and hemodynamic function. We analyzed ischemia time, incidence of acute graft failure (AGF), intubation period, recovery room stay, and long-term survival. The statistical methods were Student t and chi-square tests.ResultsThere were no differences in baseline characteristics, except that patients in the RCA group were younger (47±13 vs 51±11 years; P=.50). There were also no differences between the RCA group and the other patients in ischemia time (151±50 vs 154±53 minutes; P=.826), incidence of AGF (33% vs 24.7%; P=.311), hours of intubation (76±204 vs 72±249; P=.926), days of recovery room stay (6±7 vs 8±6; P=.453), or survival after HT (53±54 vs 53±52 months; P=.982).ConclusionsPatients receiving a heart from a patient with an in-hospital RCA and subsequent hemodynamic stability have a similar outcomes to other HT patients.Copyright © 2010 Elsevier Inc. All rights reserved.

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