https://scholars.lib.ntu.edu.tw/handle/123456789/560036
標題: | Heart retransplantation for pediatric primary allograft failure | 作者: | Luo J.M. NAI-KUAN CHOU YIH-SHARNG CHEN SHU-CHIEN HUANG NAI-HSIN CHI HSI-YU YU Ko W.J. SHOEI-SHEN WANG |
公開日期: | 五月-2012 | 卷: | 44 | 期: | 4 | 起(迄)頁: | 913 | 來源出版物: | Transplantation Proceedings | 摘要: | Purpose: Heart transplantation is indicated for children with end-stage heart failure or complex inoperable congenital defects. When the transplanted heart fails, retransplantation is suggested and herein we have presented the prognosis of these pediatric cases. Materials and methods: From March 1987 to March 2011, we performed 404 heart transplantations including 45 pediatric patients, 6 (13.3%) of whom experienced graft failure requiring retransplantation. Only four of the six patients (66.7%) had a chance for retransplantation. Results: Six of 45 pediatric heart transplant patients (13.3%) experienced graft failure requiring retransplantation. Four of them (66.7%) underwent retransplantation. Only one of the four died due to severe postoperative sepsis with acute respiratory distress. The other three patients recovered well and remain alive with no neurological sequelae; all are in New York Heart Association functional classification I at present. Conclusion: Pediatric post-heart graft failure require expectations retransplantation, which shows a good prognosis. ? 2012 Elsevier Inc. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84860751432&doi=10.1016%2fj.transproceed.2012.01.085&partnerID=40&md5=b166d94f055c9a2cad1a9847f8d19c47 https://scholars.lib.ntu.edu.tw/handle/123456789/560036 |
ISSN: | 0041-1345 | DOI: | 10.1016/j.transproceed.2012.01.085 | SDG/關鍵字: | azathioprine; cyclosporin; mycophenolic acid; steroid; cardiac allograft vasculopathy; cardiac graft rejection; child; clinical article; conference paper; female; graft failure; heart transplantation; human; male; outcome assessment; pediatric cardiology; postoperative period; priority journal; prognosis; respiratory distress; retransplantation; sepsis; treatment indication; treatment outcome; Adolescent; Cardiomyopathy, Dilated; Child; Child, Preschool; Coronary Artery Disease; Heart Transplantation; Humans; Male; Reoperation; Respiration Disorders; Sepsis; Taiwan; Time Factors; Transposition of Great Vessels; Treatment Failure |
顯示於: | 醫學系 |
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