Heart Transplantation for Congenital Heart Disease

Heart transplantation for children with congenital heart disease is a challenging procedure that requires significant preoperative planning and occasionally some intraoperative ingenuity. Failed single ventricle palliation has become the most common indication for heart transplantation in the diagnostic group of congenital heart disease. Reconstructive procedures in addition to the transplant procedure itself are often necessary, particularly in patients with single ventricle anomalies. Situs inversus with dextrocardia is probably the most challenging diagnosis for transplantation.