Heterotopic heart transplant combined with postoperative Sildenafil use for the treatment of restrictive cardiomyopathy.
We report successful management of a 22-month-old child with restrictive cardiomyopathy and severe pulmonary hypertension using the heterotopic heart transplant technique. Additional lessons learned from postoperative management, including the novel use of Sildenafil (Viagra, Pfizer, NY) for controlling pulmonary arterial pressure are described.
Department of Cardiothoracic Surgery, Stanford University Medical Center, Stanford, California, USA.
Abdulaziz
A
Al-Khaldi
Bruce A
BA
Reitz
Henry
H
Zhu
David
D
Rosenthal
D002313:Cardiomyopathy, Restrictive / Q000628:therapy*; D003131:Combined Modality Therapy; D005260:Female; D016027:Heart Transplantation / Q000379:methods*; D006801:Humans; D007223:Infant; D010879:Piperazines / Q000627:therapeutic use*; D011182:Postoperative Care; D011687:Purines; D000068677:Sildenafil Citrate; D013450:Sulfones; D016042:Transplantation, Heterotopic; D014665:Vasodilator Agents / Q000627:therapeutic use*
D010879:Piperazines; D011687:Purines; D013450:Sulfones; D014665:Vasodilator Agents; D000068677:Sildenafil Citrate