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
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.
Recommended Citation
Ohira, S., Okumura, K., Hirani, R., Martinez, S., Ichikawa, H., Isath, A., Lanier, G. M., de la Pena, C., Spielvogel, D., & Kai, M. (2023). Use of Donor Hearts ≥50 Years Old for Septuagenarians in Heart Transplantation. The Annals of Thoracic Surgery, 116 (3), 580-586. https://doi.org/10.1016/j.athoracsur.2023.04.032
