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Ann Thorac Surg 2000;70:1678
© 2000 The Society of Thoracic Surgeons

Discussion

Discussion

Discussion

DR AXEL HAVERICH (Hannover, Germany): You were a bit cautious in your conclusions whether or not to accept patients who were acutely ill on a ventilator, especially those with retransplantation after initial graft failure. Do you generally not accept those candidates for transplantation today, or would you think there are instances where even those can undergo retransplantation?

DR MEYERS: I do think there are instances when the strategy of an acute retransplantation might be appropriate. If you have a patient with extreme graft dysfunction immediately after transplant who is not infected, who is conscious without neurologic defect, and who has no evidence of infection, I think that I and my colleagues would consider retransplantation. I would say that such a situation is exceedingly rare, and the last time it occurred in our program was in the summer of 1996. . . . [Full Text of this Article]






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