M. Awad

TL;DR: Heart transplantation (HTx) surgically interrupts the parasympathetic vagal neurons and the intrinsic postganglionic sympathetic nerve fibers traveling from the stellate ganglia to the myocardium, causing axonal Wallerian degeneration and thus extrinsic cardiac denervation.

TL;DR: Prior sternotomy is associated with an excess 3.3% mortality and higher morbidity within the first 60 days after heart transplantation, as measured by frequency of dialysis, drug-treated infections, and strokes.

TL;DR: HKTx is safe to perform in patients 60 years and older or younger than60 years and with or without dialysis dependence, with excellent outcomes and the degree of panel‐reactive antibody sensitization did not appear to affect survival after HKTx.

TL;DR: For carefully selected patients with coexisting heart and liver disease, combined heart-liver transplantation offers acceptable patient and graft survival.

TL;DR: Improvements in educational, public health, economic, non-governmental and governmental efforts in the Gambia and Sierra Leone may lead to a lower prevalence of HTN, which may be a major contributor to CVD in both countries.