Technical Aspects of Cardiac Transplantation
Pediatric heart transplantation is indicated in children with end-stage heart failure arising as a result of cardiomyopathy or complex congenital heart disease. Since first being performed in 1967, dramatic improvements in transplant immunology, patient selection, and perioperative care have led to improved survival and allowed cardiac transplantation to be a limited but viable therapeutic option. Complex congenital heart disease presents a unique group of technical challenges arising as a result of varying anatomic relationships between intra- and extra-cardiac structures. Despite these aberrant anatomic relationships, cardiac transplantation can be successfully accomplished in the majority of patients.
KeywordsHeart Transplant Pediatric Congenital Cardiomyopathy Cardiac Cardiectomy
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