Orthotopic heart transplantation in a child with severe heart failure and chylous ascites.
We report a case of a heart transplantation in a 12-year-old girl 9 years after extensive lung resection and adjuvant chemo- and radiotherapy for intra-thoracic embryonic rhabdomyosarcoma. She had restrictive cardiomyopathy with severe heart failure and chylous ascites. She was treated successfully with orthotopic heart transplantation and her symptoms of chylous ascites subsided gradually after transplantation. Her abdominal girth decreased from 79 cm before the transplant to 53 cm 9 months after the transplant.
Lin
Cheng-Hsin
CH
Department of Surgery, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.
Hsu
Ron-Bin
RB
Wu
Mei-Hwan
MH
Wang
Jou-Kou
JK
Wang
Shoei-Shen
SS
Chu
Shu-Hsun
SH
D017024:Chemotherapy, Adjuvant; D002648:Child; D002915:Chylous Ascites / Q000209:etiology / Q000601:surgery*; D005260:Female; D006333:Heart Failure / Q000150:complications / Q000601:surgery*; D016027:Heart Transplantation; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D018714:Radiotherapy, Adjuvant; D012086:Reoperation; D018233:Rhabdomyosarcoma, Embryonal / Q000628:therapy; D012720:Severity of Illness Index; D013899:Thoracic Neoplasms / Q000628:therapy