Left Ventricular Remodeling in Pediatric Orthotopic Size Mismatched Heart Transplantation.
- Author:
Seung Cheol LEE
1
;
Tae Jin YOON
;
Dong Man SEO
;
Young Hwee KIM
;
In Sook PARK
;
Jong Wook KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College, Korea. dmseo@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Heart transplantation;
Organ weight;
Remodeling
- MeSH:
Adult;
Body Weight;
Cardiomyopathies;
Child;
Female;
Follow-Up Studies;
Heart Defects, Congenital;
Heart Transplantation*;
Heart*;
Humans;
Hypertension;
Hypertensive Encephalopathy;
Infant;
Male;
Organ Size;
Tissue Donors;
Ventricular Remodeling*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2006;39(3):226-229
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Recently, heart transplantation has been accepted as a standard treatment for infant and children with end-stage cardiomyopathy or complex congenital heart disease. Due to the shortage of donors, size-mismatched cardiac transplantation is common. After size-mismatched transplantation, there could be side-effects such as hypertension and hypertensive encephalopathy because of the big-heart. Donor heart is also known to do remodel as time goes by. This is a case report of a size-mismatched heart transplantation between 9-year-old boy and a 39-year-old female whose body weight is almost twice of him. In this case, classical postoperative hypertension and hypertensive encephalopathy developed but was successfully managed. The donor heart has remodeled to normal dimension during 3 years follow-up period.
