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Single-Center Experience of Pediatric Heart Transplantation in Taiwan
- Source :
- Transplantation Proceedings. 38:2130-2131
- Publication Year :
- 2006
- Publisher :
- Elsevier BV, 2006.
-
Abstract
- Heart transplantation (HTx) is a treatment for end-stage heart failure or a complex or inoperable congenital defect. The long-term survival and the adequate donor to recipient body weight (D/R BW) ratio remain to be determined. From March 1995 to May 2004, 14 children (6 months-16 years of age) underwent HTx due to underlying diseases of idiopathic dilated cardiomyopathy (n = 10; 71.4%), congenital heart disease (n = 3; 21.4%), and Kawasaki disease (n = 1; 7.1%). Donor-recipient body weight ratio ranged from 0.89 to 3.9. Big heart syndrome was present in one patient when D/R BW ratio was more than 3. Actuarial survival was 92.9% at 5 years after transplantation. Only the one patient who had Kawasaki disease died due to early primary graft failure. HTx is a feasible method with good long-term survival rates for end-stage heart failure or for complex or inoperable congenital defects. After careful pretransplant evaluation, a high D/R BW ratio (more than 3) is acceptable.
- Subjects :
- Heart transplantation
Transplantation
medicine.medical_specialty
Heart Diseases
Heart disease
business.industry
medicine.medical_treatment
Body Weight
Taiwan
medicine.disease
Single Center
Surgery
Child, Preschool
Heart failure
Idiopathic dilated cardiomyopathy
medicine
Heart Transplantation
Humans
Kawasaki disease
Pediatric heart transplantation
Child
business
Retrospective Studies
Subjects
Details
- ISSN :
- 00411345
- Volume :
- 38
- Database :
- OpenAIRE
- Journal :
- Transplantation Proceedings
- Accession number :
- edsair.doi.dedup.....a24a69040ec6da10ae3117451cb1f5be