Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-26T15:09:29.181Z Has data issue: false hasContentIssue false

Chapter 39 - Failing Cardiac Transplant

from Section 6 - Heart Failure, Mechanical Circulatory Support, and Transplantation

Published online by Cambridge University Press:  09 September 2021

By
Kelly Chilson  and
James Fehr
Edited by
Laura K. Berenstain  and
James P. Spaeth
Laura K. Berenstain
Affiliation:
Cincinnati Children's Hospital Medical Center
James P. Spaeth
Affiliation:
Cincinnati Children's Hospital Medical Center
Get access

Summary

Cardiac transplantation is a life-saving procedure for children with heart failure unresponsive to medical management. Congenital heart disease remains the most common indication for recipients under 1 year of age. Dilated cardiomyopathy, the most common etiology for transplantation in the older child, is increasingly a reason for heart transplantation in patients <1 year of age. Complications of cardiac transplantation in the early postoperative period include acute rejection, anastomotic related issues with the transplanted heart, and postoperative infection. Chronic complications include rejection, infection, and cardiac allograft vasculopathy. Children with heart failure do not always appear ill despite compromised cardiac function, and this chapter aids in the perioperative assessment and management of a patient with a failing heart transplant.

Keywords

cardiac catheterizationcongenital heart diseaseextracorporeal membrane oxygenationheart failureheart transplantventricular assist device
Type
Chapter
Information
Congenital Cardiac Anesthesia
A Case-based Approach
 , pp. 299 - 304
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

References

Dipchand, A. I.. Current state of pediatric cardiac transplantation. Ann Cardiothorac Surg 2018; 7: 31–55.CrossRefGoogle ScholarPubMed
Jooste, E. H., Muhly, W. T., Ibinson, J. W., et al. Acute hemodynamic changes after rapid intravenous bolus dosing of dexmedetomidine in pediatric heart transplant patients undergoing routine cardiac catheterization. Anesth Analg 2010; 111: 1490–6.CrossRefGoogle ScholarPubMed
Schwartz, L. I., Miyamoto, S. D., Stenquist, S., et al. Cardiac arrest in a heart transplant patient receiving dexmedetomidine during cardiac catheterization. Semin Cardiothorac Vasc Anesth 2016; 20: 175–8.CrossRefGoogle Scholar
Elhoff, J. J., Chowdhury, S. M., Taylor, C. L., et al. Decline in ventricular function as a result of general anesthesia in pediatric heart transplant recipients. Pediatr Transplant 2016; 20: 1106–10.CrossRefGoogle ScholarPubMed

Suggested Reading

Conway, J., Manlhiot, C., Kirk, R., et al. Mortality and morbidity after retransplantation after primary heart transplant in childhood: an analysis from the registry of the International Society for Heart and Lung Transplantation. J Heart Lung Transplant 2014; 33: 241–51.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×