Related Experiment Video
Updated: Jun 4, 2026
08:49
Cardiac Loading using Passive Left Atrial Pressurization and Passive Afterload for Graft Assessment
Published on: August 2, 2024
Partial Heart Transplantation: A Review for Critical Care and Advanced Practice Nurses
Rebekah R Boyd1, Seth E M Wolf2, Taylor D Hensley3
1Rebekah R. Boyd is Cardiothoracic Surgery Resident, Duke University, 2301 Erwin Road, DUMC 3474, Durham, NC 27710 (rebekah.boyd@duke.edu).
AACN Advanced Critical Care
|June 2, 2026
Summary
Partial heart transplantation offers a novel solution for pediatric valvular heart disease, utilizing living donor tissue with growth potential. This innovative procedure shows excellent clinical outcomes and is expanding globally.
Area of Science:
- Pediatric Cardiology
- Cardiac Surgery
- Transplantation Medicine
Background:
- Valvular cardiac disease in children presents significant challenges.
- Traditional treatments have limitations.
- Partial heart transplantation is an emerging alternative.
Purpose of the Study:
- To review the clinical history and outcomes of pediatric partial heart transplantation.
- To discuss perioperative management considerations for healthcare professionals.
- To explore future directions for this innovative procedure.
Main Methods:
- Literature review of partial heart transplantation cases.
- Analysis of clinical outcomes and patient data.
- Examination of multidisciplinary care strategies.
Main Results:
- Partial heart transplantation demonstrates excellent clinical outcomes in pediatric patients.
- The procedure utilizes living donor tissue with retained viability and growth potential.
- Specialized perioperative management is crucial for success.
Conclusions:
- Partial heart transplantation is a promising advancement for pediatric valvular heart disease.
- Continued development and global implementation are anticipated.
- Multidisciplinary collaboration is key to optimizing patient care.
Related Concept Videos
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
01:22Heart Failure VI: Adjunct Therapies
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
01:29Cardiomyopathy V: Interprofessional Care
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
01:30Heart Failure VII: Nursing Interventions
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
01:25Pericarditis IV: Nursing Management
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
01:29Cardiomyopathy VI: Nursing Management
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...