Korean J Thorac Cardiovasc Surg.
2009 Oct;42(5):630-634.
Transplantation of an Extremely Oversized Heart after Prolonged Extracorporeal Membrane Oxygenation Assistance in a 3-month-old
- Affiliations
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- 1Division of Pediatric Cardiology, Asan Medical Center, University of Ulsan College of Medicine College of Medicine, Korea. dmseo@amc.seoul.kr
- 2Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Korea.
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.
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