Profil clinique et para clinique des patients transplantes cardiaques dans le Service de chirurgie thoracique et cardiovasculaire du groupe hospitalier Pitié-Salpêtrière ( ghps) en 200900

. Objective: To determine clinical and paraclinical profile of heart transplanted patients in 2009 in the Thoracic and Cardiovascular Surgery (TCVS) of the Pitie-Salpetriere Hospital (PS). Method: It was aretrospective and descriptive study on heart transplantation patients between January 1 and December 31, 2009 in the TCVS of PS. Data collection was conducted from medical records, medical corresponde nce and pre-transplant assessment data and relevant laboratory tests, ultrasound, angiographic and operative reports. The collected data were entered and analyzed by Excel and analyzed by SPSS 12. Results: The sample size was 63 patients either 50,6 % of patients awaiting heart transplantation. The mean age of patients was 47.66 ± 12.79 years, sex ratio Male:Female 2.70.The circumstances of transplantation were: super-emergency (37%), non-emergency (63%) and in 1/3 of redux surgery. All patients were symptomatic (average VO2 max of 12.76 ± 3.20 ml / kg / min), with 85.7% having a Left Ventricular Ejection Fraction <30% and 100% diastolic ysfunction. Theprimary dilated cardiomyopathy was the main causal disease with 38.1% of cases. Conclusion: Hearttransplantation as the last resort is practiced more and more with improved results and highlightsdilated cardiomyopathy as the main cause. The clinical and paraclinical profile has not changed muchcompared to last 5 years