Transplantation of an Extremely Oversized Heart after Prolonged Extracorporeal Membrane Oxygenation Assistance in a 3-month-old.
- Author:
Hyun Jin CHO
1
;
Dong Man SEO
;
Won Kyoung JHANG
;
Chun Soo PARK
;
Young Hwee KIM
Author Information
1. Division of Pediatric Cardiology, Asan Medical Center, University of Ulsan College of Medicine College of Medicine, Korea. dmseo@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Heart transplantation;
Extracorporeal membrane oxygenation;
Congenital heart disease
- MeSH:
Body Weight;
Extracorporeal Membrane Oxygenation;
Heart;
Heart Failure;
Heart Transplantation;
Heart Ventricles;
Humans;
Infant;
Lung Transplantation;
Mitral Valve;
Mitral Valve Insufficiency;
Risk Factors;
Track and Field;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2009;42(5):630-634
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
According to the 2007 International Society for Heart and Lung Transplantation (ISHLT) report, a congenital diagnosis, infantile transplantation and being on extracorporeal membrane oxygenation (ECMO) at the time of transplant are risk factors for mortality for the patients who undergo a heart transplant, and a large body weight ratio also increases the risk of mortality. The patient of this case underwent a Ross operation and mitral valve repair due to left ventricle outflow track obstruction and mitral regurgitation. But the baby was treated with ECMO due to heart failure after the operation. When he was 3-months-old and had been on 30 days of ECMO, he underwent a heart transplant with a heart that had a high donor-recipient weight ratio (4.42). We present this case from a technical standpoint and we include a review of the relevant literature.
