Pediatric heart transplantation: current clinical review.

Abstract

Heart failure has been recognized as a major public health problem. Its incidence and prevalence is increasing and imposes substantial burden on the health care system. Despite much progress in development of many new drugs and innovations in palliative surgical strategy, nontransplant cardiac surgical procedures and the use of mechanical assist devices, pediatric heart transplantation remains the best treatment option for patients with end-stage heart failure. So far, more than 6000 pediatric heart transplantations have been performed worldwide. This article reviews some clinical aspects of pediatric heart transplantation, including the history, indications and contraindications, donor evaluation and recipient management, surgical techniques, risk factors of mortality, and survival of pediatric heart transplantation. The short- and long-term outcomes of pediatric heart transplantation are encouraging. However, the lack of donor hearts still hampers its clinical application.

• Authors: Yanto Sandy Tjang, Hans Stenlund, Gero Tenderich, Lech Hornik, Reiner Körfer
• Journal: Journal of cardiac surgery (J Card Surg) 2008 Jan-Feb Vol. 23 Issue 1 Pg. 87-91 ISSN: 0886-0440 [Print] United States
• PMID: 18290899 (Publication Type: Journal Article, Review)

Topics

• Child
• Heart Failure (surgery)
• Heart Transplantation (adverse effects, methods, mortality)
• Humans
• Risk Factors
• Survival Rate
• Tissue Donors
• Tissue and Organ Harvesting (methods)