Luo J.M.NAI-KUAN CHOUYIH-SHARNG CHENSHU-CHIEN HUANGNAI-HSIN CHIHSI-YU YUKo W.J.SHOEI-SHEN WANG2021-05-062021-05-062012-050041-1345https://www.scopus.com/inward/record.uri?eid=2-s2.0-84860751432&doi=10.1016%2fj.transproceed.2012.01.085&partnerID=40&md5=b166d94f055c9a2cad1a9847f8d19c47https://scholars.lib.ntu.edu.tw/handle/123456789/560036Purpose: 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.en[SDGs]SDG3azathioprine; 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 Failureconference paper10.1016/j.transproceed.2012.01.085225645832-s2.0-84860751432