Nontransplant cardiac surgery as a bridge to heart transplantation in pediatric dilated cardiomyopathy
Journal
Texas Heart Institute Journal
Journal Volume
29
Journal Issue
3
Pages
213-215
Date Issued
2002
Author(s)
Abstract
Partial left ventriculectomy and mitral valve repair, alone or in combination, have been used successfully to treat adult patients with end-stage dilated cardiomyopathy, yet the clinical results of this procedure in small children have been described only rarely. We report 2 cases of nontransplant cardiac surgery in small children with end-stage dilated cardiomyopathy. The 1st patient received both a partial left ventriculectomy and mitral valve repair; the 2nd received only mitral valve repair. Subsequently, both underwent successful heart transplantation. We believe that nontransplant cardiac surgery can improve clinical status and act as a biological bridge, instead of a mechanical bridge, to heart transplantation in small children with end-stage dilated cardiomyopathy.
SDGs
Other Subjects
amiodarone; inotropic agent; milrinone; aorta clamping; article; case report; congestive cardiomyopathy; disease course; disease severity; echocardiography; female; heart arrest; heart surgery; heart transplantation; heart ventricle arrhythmia; heart ventricle enddiastolic pressure; human; mitral valve replacement; postoperative care; preschool child; surgical technique; treatment outcome; Cardiac Surgical Procedures; Cardiomyopathy, Dilated; Child, Preschool; Echocardiography; Female; Heart Transplantation; Heart Ventricles; Humans; Male; Mitral Valve; Stroke Volume
Type
journal article