Affordable Access

deepdyve-link
Publisher Website

Heart transplantation in adults with congenital heart disease.

Authors
  • Stewart, Garrick C1
  • Mayer, John E Jr
  • 1 Division of Cardiovascular Medicine, Center for Advanced Heart Disease, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. Electronic address: [email protected]
Type
Published Article
Journal
Heart failure clinics
Publication Date
Jan 01, 2014
Volume
10
Issue
1
Pages
207–218
Identifiers
DOI: 10.1016/j.hfc.2013.09.007
PMID: 24275305
Source
Medline
Keywords
License
Unknown

Abstract

Heart transplantation has become an increasingly common and effective therapy for adults with end-stage congenital heart disease (CHD) because of advances in patient selection and surgical technique. Indications for transplantation in CHD are similar to other forms of heart failure. Pretransplant assessment of CHD patients emphasizes evaluation of cardiac anatomy, pulmonary vascular disease, allosensitization, hepatic dysfunction, and neuropsychiatric status. CHD patients experience longer waitlist times and higher waitlist mortality than other transplant candidates. Adult CHD patients undergoing transplantation carry an early hazard for mortality compared with non-CHD recipients, but by 10 years posttransplant, CHD patients have a slight actuarial survival advantage.

Report this publication

Statistics

Seen <100 times