Nontransplant cardiac surgery as a bridge to heart transplantation in pediatric dilated cardiomyopathy.
Partial left ventriculectomy and mitral valve repair, alone or in combination, have been used successfully to treat adult patients with end-stage dilated cardiomyopathy, yet the clinical results of this procedure in small children have been described only rarely. We report 2 cases of nontransplant cardiac surgery in small children with end-stage dilated cardiomyopathy The 1st patient received both a partial left ventriculectomy and mitral valve repair; the 2nd received only mitral valve repair. Subsequently, both underwent successful heart transplantation. We believe that nontransplant cardiac surgery can improve clinical status and act as a biological bridge, instead of a mechanical bridge, to heart transplantation in small children with end-stage dilated cardiomyopathy.
Hsu
Ron-Bin
RB
Department of Surgery, National Taiwan University Hospital and Far Eastern Memorial Hospital, Taipei, Republic of China.
Chien
Chen-Yen
CY
Wang
Shoei-Shen
SS
Chu
Shu-Hsun
SH
D006348:Cardiac Surgical Procedures; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D002675:Child, Preschool; D004452:Echocardiography; D005260:Female; D016027:Heart Transplantation; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery; D013318:Stroke Volume / Q000502:physiology