A new study is suggesting that those who receive the organ procedure have an elevated risk for developing skin cancer.

Researchers found in the Archives of Dermatology discovered that there were increased instances of multiple skin cancers in heart transplant patients.

While previous studies have indicated that renal transplant patients had a high risk of developing skin cancer, new findings suggest that heart transplant patients are twice as likely to develop the disease.

Findings reveal that of the 312 patients who received the organ transplant, 46.4 percent developed skin cancer in a 19-year follow up. Of those who developed the disease, there were a total of 1,395 different kinds of cancer.

The researchers wrote that while these findings were concerning, there was a low death rate. They recommended simple practices to keep skin healthy, in hopes of preventing the disease.

“Vigilant sun protection practices, skin cancer education, regular skin examinations and daily vitamin D [] are appropriate interventions in these high-risk heart transplant patients,” they wrote.