European Journal of Cardio-Thoracic Surgery, Vol 4, 136-140, Copyright © 1990 by European Association for Cardio-thoracic Surgery
Cystic fibrosis: a new challenge for cardiothoracic surgery
G Fradet, RL Smyth, JP Scott, E Solis, L Sharples, TW Higenbottam and J Wallwork
Department of Transplantation Surgery, Papworth Hospital, Cambridgeshire, UK.
Cystic fibrosis (CF) is the most common fatal inherited disease in
caucasian populations. Between 80-120 CF patients die each year in England
and Wales, the majority from pulmonary disease. Since October 1985, 17
patients with CF have undergone heart-lung transplantation (HLT) at our
institution. Only 3 early deaths have occurred in the first 2 postoperative
months. Another patient died 9 months after transplantation. Thirteen
patients are now alive 1-46 months (mean 14 month) post transplantation.
Actuarial survival at 6 months is 80% for CF patients compared to 73% for
non-CF patients. Both groups of patients have similar profiles of rejection
and infection. In the Caucasian population, CF patients form the largest
potential recipient group for HLT and our experience suggests that those CF
patients who undergo HLT have a favourable outcome.