Perioperative outcomes of cardiac surgery in kidney and kidney-pancreas transplant recipients.

摘要: Objective Cardiovascular disease is a common cause of morbidity and mortality in organ transplant recipients, cardiac surgery has become more this population. We performed retrospective study kidney recipients who underwent over the past 10 years at our institution with an emphasis on evaluating postoperative outcomes. Methods Seventy-four patients previous abdominal transplants (93% coronary artery bypass grafting, 5.4% grafting plus valve, 1.4% valve) between 1995 2005. These were compared 895 adult nontransplant undergoing 2000 Only kidney–pancreas included analysis (n = 70) because there only 2 liver pancreas alone transplants. Results As patients, younger (mean age 52.1 ± vs 61 13 years; P .005) There was no difference two groups complication rate 30 days after surgery, except that likely to have dysfunction (32.6% 6.1%; not significant). By multivariable analysis, preoperative congestive heart failure, nonelective prolonged cardiopulmonary times, peripheral vascular disease, lower creatinine clearance significant risk factors for mortality; however, prior independent factor 30-day mortality. Conclusions Despite their increased incidence comorbid conditions, outcomes are similar those population higher patients.