Abstract
Purpose Patients (pts) with history of prior cardiac surgery (PCS) may have worse outcomes after heart transplant (HTx) from higher perioperative complications. The amount of risk from PCS has not been well established. Therefore, we analyzed the UNOS database for early morbidity and mortality and long-term survival after HTx for pts with and without PCS. Methods and Materials 11,266 pts with 1st HTx between (btw) 1997 & 2011 were examined: First group (gp) without PCS (6005, 53.3%) & Redo gp with at least 1 PCS (5261, 46.7%). Multivariate cox model was used to identify predictors of mortality. Results Survival was lower in Redo gp at 60 days (92.8 vs 96%; HR 1.83, 95% CI: 1.56-2.15; p Figure 1 . Conclusions History of PCS is associated with increased morbidity and mortality in the first 60-days post HTx. This factor should be added to risk profile of pts undergoing evaluation for HTx.
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