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[Cardiac transplant in single ventricle]
1Servicio de Cardiología, Hospital Universitario La Fe, Valencia. anaosa@servitel.es
Revista Espanola De Cardiologia
|July 17, 1998
Summary
Univentricular heart disease patients with severe pulmonary stenosis may survive to adulthood. Heart transplantation is an optimal choice for select patients with adequate pulmonary tree development when palliative care is not feasible.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Pediatric Cardiology
Background:
- Univentricular heart is a rare congenital heart defect.
- Severe pulmonary stenosis or atresia allows some patients to reach adulthood with heart failure and hypoxemia.
Observation:
- Patients with adequate pulmonary tree development may be candidates for heart transplantation.
- Traditional palliative techniques may be contraindicated for these patients.
Findings:
- Three cases of univentricular heart with pulmonary stenosis are presented.
- Heart transplantation was identified as the optimal treatment in these cases.
- Techniques for assessing pulmonary tree development were analyzed.
Implications:
- Heart transplantation offers a viable option for select adults with univentricular hearts and pulmonary stenosis.
- Accurate assessment of pulmonary tree development is crucial for surgical planning.
- This study highlights the importance of considering heart transplantation in complex congenital heart disease cases.