Abstract
Because of cardiac operations in children, more than a million adults with treated congenital heart disease survive. Those with complex anomalies, which may have been palliated, develop cardiac failure which may become resistant to medical treatment. For these patients heart or heart-lung transplantation offers an approach. In this chapter the indications and the UNOS classification for considering patients for transplantation are presented. Two factors may limit classification: inability to determine pulmonary vascular resistance in those with more than one source of pulmonary blood flow and secondly elevated HLA antibody levels from previous cardiac operations. There are unique factors that patients experience postoperatively, but 10-year survival is favorable.
Original language | English (US) |
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Title of host publication | Congestive Heart Failure and Cardiac Transplantation |
Subtitle of host publication | Clinical, Pathology, Imaging and Molecular Profiles |
Publisher | Springer International Publishing |
Pages | 539-547 |
Number of pages | 9 |
ISBN (Electronic) | 9783319445779 |
ISBN (Print) | 9783319445755 |
DOIs | |
State | Published - Jun 1 2017 |
Keywords
- Adults
- CHD
- Congenital heart disease
- Heart transplantation
- Heart-lung transplantation