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D explantation. Freedom from recurrent hf: 69. 4?8. 5% at 3 years and 58. 2?10. 2% at 5 years. Cardiac function and exercise tolerance after lvad removal recurrence of hf during the first 3 years after weaning was found in 31. 3% of the weaned patients. In 4 patients, hf recurred beyond the third postweaning year (figure 1). Htx was performed in 11 of the 14 patients with recurrent hf. Only 2 patients with postweaning hf recurrence died before htx or implantation of another lvad could be performed. One of these died on the third postweaning day, but for him neither a second lvad implantation nor htx were indicated, because of severe diffuse cerebral lesions and pump pocket infection, which were already present before lvad removal. The other cardiac death occurred during rapid worsening of cardiac function after 2 years of postweaning cardiac stability in a patient with a long history of hf (>6 years) before lvad implantation. Lvad reimplantation before htx was performed in 2 patients, one with hf recurrence at 6 months after weaning and the other with late recurrence of hf after >5 years of optimally stable cardiac function. With these optimally timed transplantations or lvad reimplantations, there were no significant survival differences between the weaned patients with and without hf recurrence (figure 2b). Of the weaned patients, by 3 years and 5 years after lvad removal, 69. 4?8. 5% and 58. 2?10. cheap viagra 2%, respectively, were free from recurrent hf (figure 2c). Among the 17 patients witho.

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