Combined Heart and Kidney Transplantation: Initial Clinical Experience.

Introduction: Combined solid organ transplantation is infrequently performed in Brazil. The objective of this article is to present our initial experience with combined heart and kidney transplantation.

Methods: From January 2007 to December 2019, four patients were submitted to combined heart and kidney transplantation.

Does the anthropometric profile influence infection morbidity after coronary artery bypass grafting?

Background: Infection after cardiovascular surgery is multifactorial. We sought to determine whether the anthropometric profile influences the occurrence of infection after isolated coronary artery bypass grafting (CABG).

Methods: Between January 2011 and June 2016, 1777 consecutive adult patients were submitted to isolated coronary artery bypass grafting.

Is shortage of heart donors a real problem? Insights from a Brazilian Mid-West heart transplant program.

Background And Aim Of The Study: In developed countries, the shortage of viable donors is the main limiting factor of heart transplantation. The aim of this study is to determine whether the same reality applies to Brazil.

Methods: Between January 2012 and December 2014, 299 adult heart donor offers were studied in terms of donor profiles and reasons for refusal.

Massive hemoptysis successfully treated with extracorporeal membrane oxygenation and endobronchial thrombolysis.

Extracorporeal membrane oxygenation has been used to treat refractory hypoxemia in numerous clinical scenarios. The fundamental principles for the management of massive hemoptysis patients include protecting the airway and healthy lung, locating the source of bleeding and controlling the hemorrhage. We report the case of a patient with acute respiratory failure associated with massive hemoptysis secondary to lung laceration during cardiac surgery.

Addition of long-distance heart procurement promotes changes in heart transplant waiting list status.

Objective: Evaluate the addition of long-distance heart procurement on a heart transplant program and the status of heart transplant recipients waiting list.

Methods: Between September 2006 and October 2012, 72 patients were listed as heart transplant recipients. Heart transplant was performed in 41 (57%), death on the waiting list occurred in 26 (36%) and heart recovery occurred in 5 (7%).

Results of the establishment of an organizational model in a cardiovascular surgery service.

Objective: Increasing complexity of patients referred to cardiac surgery demands more effective heart centers, in order to maintain the same quality. The aim of this study is to examine the short-term effect of adoption of an organizational model on surgical outcomes.

Methods: From January 2006 to June 2007, 367 consecutive adult patients underwent cardiovascular surgery.