Since April 1984, 70 patients have received heart-lung transplants at our institution. Actuarial survival is 76\% at 1 year and 68\% at 2 years. All but 4 surviving patients have an unrestricted life style. Rejection was confirmed by lung transbronchial biopsy (TBB) on 277 occasions in 66 patients. Forty-two percent of episodes occurred within 1 month of surgery. Eight patients have developed evidence of chronic rejection with progressive irreversible fall in FEV1, of whom 4 have died or undergone single lung retransplantation. Seven patients had primary cytomegalovirus (CMV) of whom 4 patients died. Eight patients developed pneumocystis pneumonia of whom 1 died. Seven episodes of herpes simplex pneumonitis occurred of which one episode was fatal. Heart-lung transplantation is a valuable treatment for terminal cardiopulmonary disease and offers increasing hope of long-term survival.
Description
Journal is not accessible at UCLA and they do not offer this one for free even though it is so old.
%0 Journal Article
%1 Scott1990
%A Scott, J. P.
%A Fradet, G.
%A Smyth, R. L.
%A Solis, E.
%A Higenbottam, T. W.
%A Wallwork, J.
%D 1990
%J Eur J Cardiothorac Surg
%K transplantation antifolates pneumonia prophylaxis
%N 4
%P 197--200; discussion 201
%R 10.1016/1010-7940(90)90004-J
%T Management following heart and lung transplantation: five years experience.
%U http://dx.doi.org/10.1016/1010-7940(90)90004-J
%V 4
%X Since April 1984, 70 patients have received heart-lung transplants at our institution. Actuarial survival is 76\% at 1 year and 68\% at 2 years. All but 4 surviving patients have an unrestricted life style. Rejection was confirmed by lung transbronchial biopsy (TBB) on 277 occasions in 66 patients. Forty-two percent of episodes occurred within 1 month of surgery. Eight patients have developed evidence of chronic rejection with progressive irreversible fall in FEV1, of whom 4 have died or undergone single lung retransplantation. Seven patients had primary cytomegalovirus (CMV) of whom 4 patients died. Eight patients developed pneumocystis pneumonia of whom 1 died. Seven episodes of herpes simplex pneumonitis occurred of which one episode was fatal. Heart-lung transplantation is a valuable treatment for terminal cardiopulmonary disease and offers increasing hope of long-term survival.
@article{Scott1990,
abstract = {Since April 1984, 70 patients have received heart-lung transplants at our institution. Actuarial survival is 76\% at 1 year and 68\% at 2 years. All but 4 surviving patients have an unrestricted life style. Rejection was confirmed by lung transbronchial biopsy (TBB) on 277 occasions in 66 patients. Forty-two percent of episodes occurred within 1 month of surgery. Eight patients have developed evidence of chronic rejection with progressive irreversible fall in FEV1, of whom 4 have died or undergone single lung retransplantation. Seven patients had primary cytomegalovirus (CMV) of whom 4 patients died. Eight patients developed pneumocystis pneumonia of whom 1 died. Seven episodes of herpes simplex pneumonitis occurred of which one episode was fatal. Heart-lung transplantation is a valuable treatment for terminal cardiopulmonary disease and offers increasing hope of long-term survival.},
added-at = {2012-06-16T03:51:50.000+0200},
author = {Scott, J. P. and Fradet, G. and Smyth, R. L. and Solis, E. and Higenbottam, T. W. and Wallwork, J.},
biburl = {https://www.bibsonomy.org/bibtex/2ca64f2530d13a280f67465a9da57a5de/aorchid},
description = {Journal is not accessible at UCLA and they do not offer this one for free even though it is so old.},
doi = {10.1016/1010-7940(90)90004-J},
groups = {public},
institution = {Heart-Lung Transplant Research Unit, Papworth Hospital, Cambridge, UK.},
interhash = {7f95ff8f82bb5e816f745b0c9526510c},
intrahash = {ca64f2530d13a280f67465a9da57a5de},
journal = {Eur J Cardiothorac Surg},
keywords = {transplantation antifolates pneumonia prophylaxis},
language = {eng},
medline-pst = {ppublish},
number = 4,
pages = {197--200; discussion 201},
pmid = {2159311},
timestamp = {2012-06-16T03:51:50.000+0200},
title = {Management following heart and lung transplantation: five years experience.},
url = {http://dx.doi.org/10.1016/1010-7940(90)90004-J},
username = {aorchid},
volume = 4,
year = 1990
}