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Copyright © 2020, Turkish Society of Cardiovascular Surgery.Background This study aims to investigate the effects of reoperative sternotomy on early and long-term outcomes after heart transplantation. Methods We retrospectively reviewed data of a total of 92 patients (72 males, 20 females; mean age 36 years; range, 3 to 61 years) who underwent orthotopic heart transplantation between May 1998 and July 2014. The patients were divided into three groups. Group A (n=23) included patients who underwent previous cardiac surgery with sternotomy o