I) Country in which your institution is located II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? II) Name of your institution? III) Name of the Transplant Coordinator/Transplant Director? IV) Is Marfan Syndrome an absolute contraindication for heart transplantation in your institution? V) Number of patients with Marfan Syndrome (MFS) referred to your institution for evaluation for orthotopic heart transplantation? 1.Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 5) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 5) Reason(s) for being turned down for heart transplantation? 6) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 5) Reason(s) for being turned down for heart transplantation? 6) Reason(s) for being turned down for heart transplantation? 7) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 5) Reason(s) for being turned down for heart transplantation? 6) Reason(s) for being turned down for heart transplantation? 7) Reason(s) for being turned down for heart transplantation? 8) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 5) Reason(s) for being turned down for heart transplantation? 6) Reason(s) for being turned down for heart transplantation? 7) Reason(s) for being turned down for heart transplantation? 8) Reason(s) for being turned down for heart transplantation? 9) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 5) Reason(s) for being turned down for heart transplantation? 6) Reason(s) for being turned down for heart transplantation? 7) Reason(s) for being turned down for heart transplantation? 8) Reason(s) for being turned down for heart transplantation? 9) Reason(s) for being turned down for heart transplantation? 10) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 5) Reason(s) for being turned down for heart transplantation? 6) Reason(s) for being turned down for heart transplantation? 7) Reason(s) for being turned down for heart transplantation? 8) Reason(s) for being turned down for heart transplantation? 9) Reason(s) for being turned down for heart transplantation? 10) Reason(s) for being turned down for heart transplantation? 11) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 5) Reason(s) for being turned down for heart transplantation? 6) Reason(s) for being turned down for heart transplantation? 7) Reason(s) for being turned down for heart transplantation? 8) Reason(s) for being turned down for heart transplantation? 9) Reason(s) for being turned down for heart transplantation? 10) Reason(s) for being turned down for heart transplantation? 11) Reason(s) for being turned down for heart transplantation? 12) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 5) Reason(s) for being turned down for heart transplantation? 6) Reason(s) for being turned down for heart transplantation? 7) Reason(s) for being turned down for heart transplantation? 8) Reason(s) for being turned down for heart transplantation? 9) Reason(s) for being turned down for heart transplantation? 10) Reason(s) for being turned down for heart transplantation? 11) Reason(s) for being turned down for heart transplantation? 12) Reason(s) for being turned down for heart transplantation? 13) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 5) Reason(s) for being turned down for heart transplantation? 6) Reason(s) for being turned down for heart transplantation? 7) Reason(s) for being turned down for heart transplantation? 8) Reason(s) for being turned down for heart transplantation? 9) Reason(s) for being turned down for heart transplantation? 10) Reason(s) for being turned down for heart transplantation? 11) Reason(s) for being turned down for heart transplantation? 12) Reason(s) for being turned down for heart transplantation? 13) Reason(s) for being turned down for heart transplantation? 14) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 5) Reason(s) for being turned down for heart transplantation? 6) Reason(s) for being turned down for heart transplantation? 7) Reason(s) for being turned down for heart transplantation? 8) Reason(s) for being turned down for heart transplantation? 9) Reason(s) for being turned down for heart transplantation? 10) Reason(s) for being turned down for heart transplantation? 11) Reason(s) for being turned down for heart transplantation? 12) Reason(s) for being turned down for heart transplantation? 13) Reason(s) for being turned down for heart transplantation? 14) Reason(s) for being turned down for heart transplantation? 15) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 5) Reason(s) for being turned down for heart transplantation? 6) Reason(s) for being turned down for heart transplantation? 7) Reason(s) for being turned down for heart transplantation? 8) Reason(s) for being turned down for heart transplantation? 9) Reason(s) for being turned down for heart transplantation? 10) Reason(s) for being turned down for heart transplantation? 11) Reason(s) for being turned down for heart transplantation? 12) Reason(s) for being turned down for heart transplantation? 13) Reason(s) for being turned down for heart transplantation? 14) Reason(s) for being turned down for heart transplantation? 15) Reason(s) for being turned down for heart transplantation? 16) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 5) Reason(s) for being turned down for heart transplantation? 6) Reason(s) for being turned down for heart transplantation? 7) Reason(s) for being turned down for heart transplantation? 8) Reason(s) for being turned down for heart transplantation? 9) Reason(s) for being turned down for heart transplantation? 10) Reason(s) for being turned down for heart transplantation? 11) Reason(s) for being turned down for heart transplantation? 12) Reason(s) for being turned down for heart transplantation? 13) Reason(s) for being turned down for heart transplantation? 14) Reason(s) for being turned down for heart transplantation? 15) Reason(s) for being turned down for heart transplantation? 16) Reason(s) for being turned down for heart transplantation? 17) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 5) Reason(s) for being turned down for heart transplantation? 6) Reason(s) for being turned down for heart transplantation? 7) Reason(s) for being turned down for heart transplantation? 8) Reason(s) for being turned down for heart transplantation? 9) Reason(s) for being turned down for heart transplantation? 10) Reason(s) for being turned down for heart transplantation? 11) Reason(s) for being turned down for heart transplantation? 12) Reason(s) for being turned down for heart transplantation? 13) Reason(s) for being turned down for heart transplantation? 14) Reason(s) for being turned down for heart transplantation? 15) Reason(s) for being turned down for heart transplantation? 16) Reason(s) for being turned down for heart transplantation? 17) Reason(s) for being turned down for heart transplantation? 18) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 5) Reason(s) for being turned down for heart transplantation? 6) Reason(s) for being turned down for heart transplantation? 7) Reason(s) for being turned down for heart transplantation? 8) Reason(s) for being turned down for heart transplantation? 9) Reason(s) for being turned down for heart transplantation? 10) Reason(s) for being turned down for heart transplantation? 11) Reason(s) for being turned down for heart transplantation? 12) Reason(s) for being turned down for heart transplantation? 13) Reason(s) for being turned down for heart transplantation? 14) Reason(s) for being turned down for heart transplantation? 15) Reason(s) for being turned down for heart transplantation? 16) Reason(s) for being turned down for heart transplantation? 17) Reason(s) for being turned down for heart transplantation? 18) Reason(s) for being turned down for heart transplantation? 19) Reason(s) for being turned down for heart transplantation? 1) Reason(s) for being turned down for heart transplantation? 2) Reason(s) for being turned down for heart transplantation? 3) Reason(s) for being turned down for heart transplantation? 4) Reason(s) for being turned down for heart transplantation? 5) Reason(s) for being turned down for heart transplantation? 6) Reason(s) for being turned down for heart transplantation? 7) Reason(s) for being turned down for heart transplantation? 8) Reason(s) for being turned down for heart transplantation? 9) Reason(s) for being turned down for heart transplantation? 10) Reason(s) for being turned down for heart transplantation? 11) Reason(s) for being turned down for heart transplantation? 12) Reason(s) for being turned down for heart transplantation? 13) Reason(s) for being turned down for heart transplantation? 14) Reason(s) for being turned down for heart transplantation? 15) Reason(s) for being turned down for heart transplantation? 16) Reason(s) for being turned down for heart transplantation? 17) Reason(s) for being turned down for heart transplantation? 18) Reason(s) for being turned down for heart transplantation? 19) Reason(s) for being turned down for heart transplantation? 20) Reason(s) for being turned down for heart transplantation? Reason for heart transplantation(patient#1): Month of last follow up(patient#1): Year of last follow up: Reason for death if deceased(patient#1): Cardiovascular complications (if any): Reason for heart transplantation(patient#2)
: Month of last follow up(patient#2)
: Year of last follow up(patient#2)
: Reason for death if deceased(patient#2)
: Cardiovascular complications (if any): Reason for heart transplantation(patient#3)
: Month of last follow up(patient#3)
: Year of last follow up(patient#3)
: Reason for death if deceased(patient#3):
Cardiovascular complications (if any): Reason for heart transplantation(patient#4)
: Month of last follow up(patient#4)
: Year of last follow up(patient#4)
: Reason for death if deceased(patient#4)
: Cardiovascular complications (if any): Reason for heart transplantation(patient#5)
: Month of last follow up(patient#5)
: Year of last follow up(patient#5)
: Reason for death if deceased(patient#5)
: Cardiovascular complications (if any): Reason for heart transplantation(patient#6)
: Month of last follow up(patient#6)
: Year of last follow up(patient#6)
: Reason for death if deceased(patient#6)
: Cardiovascular complications (if any): Reason for heart transplantation(patient#7)
: Month of last follow up(patient#7)
: Year of last follow up(patient#7)
: Reason for death if deceased(patient#7).
: Cardiovascular complications (if any): Reason for heart transplantation(patient#8): Month of last follow up(patient#8): Year of last follow up(patient#8): Reason for death if deceased(patient#8): Cardiovascular complications (if any): Reason for heart transplantation(patient#9)
: Month of last follow up(patient#9)
: Year of last follow up(patient#9)
: Reason for death if deceased(patient#9)
: Cardiovascular complications (if any): Reason for heart transplantation(patient#10): Month of last follow up(patient#10): Year of last follow up(patient#10): Reason for death if deceased(patient#10): Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Reason for heart transplantation: Month of last follow up: Year of last follow up: Reason for death if deceased: Cardiovascular complications (if any): Do you wish to receive the final analysis of this research on MFS? |
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