In our study, we were able to retrieve more than half of the potential heart donors as a result of early active donor management without impacting on the post-transplant recipient outcome. Early active donor management may assist in increasing the number of heart transplantations, thus warranting further investigation.

Objective:The aim of this study is to examine the outcomes post redo CABG in patients above 70 years old.Method: This retrospective study was carried out at Liverpool Heart and Chest Hospital, for 148 patients above the age of 70 (Mean age 74.29±3.4 years) who underwent reoperation for Coronary Artery Bypass Graft (CABG) over 10 years period between 2001-2011. Post operative mortality and morbidity was analyzed. We used Major Adverse Vascular Events (MAVE) as in-hospital safety of treatment assessment tools. Results:The mean EURO score was 7.41± 2.67. Thirty-day mortality was 6% (9 out of 148), and the one-year survival was 84.4% (n=125). MAVE show 4.7% post-operative Q-wave MI and 4% stroke. Renal impairment was noted in 14.2%. Rate of re-exploration was 12.8% mainly for bleeding and tamponade 8.1% and 2.7% respectively. Mean length of stay was 16.3 days. Conclusion:This study shows acceptable survival and post operative mortality and morbidity in this high risk group. Therefore, Redo CABG in patients over 70 alone should not deter a cardiac surgeon from offering such a potentially beneficial intervention.

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