The influence of acute preoperative XXXX on the results of heart transplantation.

@entity1 @entity296 @entity295 @entity500 @entity8995 @entity384 @entity3509 @entity177 @entity205
The presence of acute @entity8995 is not uncommon in severely ill @entity1 and is considered by some to be a contraindication to heart transplantation. It has been our policy to accept these @entity1 for operation. The purpose of this investigation is to examine the results of this policy in @entity1 receiving immunosuppression with @entity205 and @entity500 . Between September 1982 and April 1985, eight @entity1 undergoing heart transplantation demonstrated clinical and radiographic evidence of acute preoperative @entity8995 . These @entity1 represented 5.5% of our heart transplantation population during this period (total = 145). The age range in these eight @entity1 was from 22 to 55 years. @entity384 was present in four @entity1 , and four @entity1 had @entity296 . All @entity1 were New York Heart Association functional status class IV. Five of the eight @entity1 were on inotropic support, and one @entity1 had associated @entity177 . @entity8995 were located in the right, middle, or lower lung field in seven @entity1 and in the left lower lung field in one @entity1 . All @entity1 were treated perioperatively by intensive physiotherapy and specific antibiotics. In four @entity1 the lesions resolved on medical treatment alone. Three @entity1 developed extensive @entity3509 and required chest drainage with or without decortication. Two of these @entity1 survived with complete resolution of the lung lesions, and one @entity1 died from prolonged @entity177 and @entity295 .(ABSTRACT TRUNCATED AT 250 WORDS)
