Abstract
Methods Between 1986 and 2011, 179 children underwent heart transplantation for cardiomyopathy and end-stage congenital heart disease. Fifteen patients had single-ventricle physiology and underwent Fontan procedure. Five patients (mean age 6.6±1.2, range 2-14, years old) had failed Fontan circulation. Interval between Fontan procedure and failing circulation was 8-14 years. Indications for heart transplantation were ventricular failure (n=4), and protein-losing enteropathy (n=1).
Highlights
Failed Fontan circulation who underwent heart transplantation, with focus on indications, timing, strategies, risk factors and long-term outcome
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Summary
Failed Fontan circulation who underwent heart transplantation, with focus on indications, timing, strategies, risk factors and long-term outcome. Heart transplantation in single-ventricle physiology with failed fontan circulation From 23rd World Congress of the World Society of Cardio-Thoracic Surgeons Split, Croatia. Background Failed Fontan circulation who underwent heart transplantation, with focus on indications, timing, strategies, risk factors and long-term outcome. Conclusion Heart transplantation in failed Fontan circulation, though technically challenging, may be offered in this difficult group of patients who are otherwise hopeless.
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