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Updated: Jul 25, 2026

Transplantation of Pulmonary Valve Using a Mouse Model of Heterotopic Heart Transplantation
Published on: July 23, 2014
Transplantation of the heart and lungs in children
1Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis Children's Hospital, Missouri 63110.
Insights
Pediatric lung transplantation offers a viable option for children with complex heart conditions. While long-term data is pending, intermediate outcomes in pediatric lung transplants show promise, similar to heart and lung transplants.
Area of Science:
- Cardiology
- Thoracic Surgery
- Pediatric Pulmonology
Background:
- Heart transplantation and lung transplantation are critical interventions for children with severe heart disease or cardiomyopathies.
- Pediatric thoracic organ transplantation is a developing field with limited long-term follow-up data.
Purpose of the Study:
- To evaluate the intermediate-term outcomes of pediatric lung transplantation.
- To highlight the challenges and considerations in selecting pediatric recipients for thoracic organ transplants.
Main Methods:
- Review of intermediate-term follow-up data for pediatric lung transplant recipients.
- Comparison of outcomes with existing data for pediatric heart and lung transplantation.
Main Results:
- Pediatric lung transplantation demonstrates intermediate-term results comparable to combined heart and lung transplantation.
- Careful patient selection and management of underlying medical conditions are crucial for successful outcomes.
Conclusions:
- Pediatric lung transplantation is an effective, albeit complex, therapeutic option for select pediatric patients.
- Further long-term studies are needed to fully understand the trajectory of pediatric lung transplant recipients.
Abstract:
Heart transplantation in children with complex congenital heart disease or cardiomyopathies has become an effective form of therapy for patients with no other surgical options. Because pediatric pulmonary transplantation is a relatively new procedure, long-term follow-up data are not yet available. However, the intermediate-term results of pediatric lung transplantation appear similar to those for heart and lung transplantation. Children represent a particularly difficult patient group for transplant of thoracic organs, and recipients must be selected carefully. Additionally, physicians must pay close attention to multiple medical conditions relating to the underlying disease process in order to achieve optimal results.

