Use of Donor Hearts ≥50 Years Old for Septuagenarians in Heart Transplantation

Author Type(s)

Faculty, Resident/Fellow

Document Type

Abstract

Publication Date

9-2023

DOI

10.1016/j.athoracsur.2023.04.032

Journal Title

The Annals of Thoracic Surgery

Department

Surgery

Second Department

Medicine

Abstract

Background: The impact of using donors ≥50 years old on heart transplantation outcomes of septuagenarians is unknown, which may have a potential to expand the donor pool.

Methods: From January 2011 to December 2021, 817 septuagenarians received donor hearts(DON

Results: The number of heart transplants in septuagenarians has been increasing (54 per year in 2011 to 137 per year in 2021). In a matched cohort, the donor age was 30 years in DONDON≥50. In DON≥50, cerebrovascular disease was the main cause of death (43%), whereas head trauma (38%) and anoxia (37%) were the causes in DON<50 >(P < .001). The median heart ischemia time was comparable (DON

Conclusions: The use of donor hearts older than 50 years can be an effective option for septuagenarians, thereby potentially increasing organ availability without compromising outcomes.

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