Journal article
Management of General Surgical Complications Following Cardiac Transplantation
Archives of surgery (Chicago. 1960), v 124(5), pp 539-541
01 May 1989
PMID: 2653277
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
• Between February 1984 and May 1988, 55 patients underwent orthotopic cardiac transplantation at the Brigham and Women's Hospital, Boston, Mass. Basic immunosuppression was accomplished with steroid and cyclosporine therapies. Twelve patients suffered 14 major complications, including perforated ulcer in 3 patients; pancreatitis in 3 patients; pneumatosis coli in 2 patients; and cholecystitis, colonic necrosis, appendicitis, incarcerated umbilical hernia, pancreatic abscess, and toxic epidermal necrolysis in 1 patient each. Aggressive management of the patients included laparotomy in all but 2 patients with mild pancreatitis and the patient with toxic epidermal necrolysis, who was treated as a patient with a severe burn. In all of the patients, there was a resolution of these complications, except in one 59-year-old man with fatal hemorrhagic pancreatitis. Eleven of the 14 complications occurred during the initial hospitalization. The fatal case of pancreatitis was 1 of 5 (9%) operative mortalities in the entire series. Fifty operative survivors have been followed up for an average of 19 months, with four late deaths (8%) related to rejection. The actuarial probability of survival in patients discharged from the hospital was 90% at 12, 24, and 48 months.(Arch Surg. 1989;124:539-541)
Metrics
Details
- Title
- Management of General Surgical Complications Following Cardiac Transplantation
- Creators
- Verdi J DiSesa - Brigham and Women's HospitalRobert L KirkmanNicholas L TilneyGilbert H MudgeJohn J CollinsLawrence H Cohn
- Publication Details
- Archives of surgery (Chicago. 1960), v 124(5), pp 539-541
- Publisher
- American Medical Association
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:A1989U471900004
- Scopus ID
- 2-s2.0-0024600745
- Other Identifier
- 991021463455004721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Surgery