Non-transplant cardiac surgery for end-stage dilated cardiomyopathy in small children.
Between October 1997 and December 2000, a total of 7 pediatric patients with end-stage dilated cardiomyopathy (DCM) were referred to our service for heart transplantation; non-transplant cardiac surgery was offered as a biologic bridge. Two patients died before surgery and the in-hospital surgical mortality rate was 50%: 75% in 4 patients who received emergency surgery and 0% in 2 patients who received urgent surgery. Non-transplant cardiac surgery improved clinical outcome and acted as a biologic bridge, instead of a mechanical bridge, to heart transplantation in small children with DCM and severe heart failure.
Hsu
Ron-Bin
RB
Department of Surgery, National Taiwan University Hospital and Far Eastern Memorial Hospital, Taipei, Taiwan.
Chen
Robert J
RJ
Wu
Mei-Hwan
MH
Wang
Jou-Kou
JK
Wang
Shoei-Shen
SS
Chu
Shu-Hsun
SH
D006348:Cardiac Surgical Procedures; D002311:Cardiomyopathy, Dilated / Q000401:mortality / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007223:Infant; D008297:Male