Adults with Congenital Heart Disease and Transplant: Challenges, Opportunities, and Policy.
Heart Fail Clin
; 20(2): 167-174, 2024 Apr.
Article
em En
| MEDLINE
| ID: mdl-38462321
ABSTRACT
The rate of heart transplantation in adults with congenital heart disease (ACHD) is rising, but the 1-year mortality posttransplantation remains higher than non-ACHD patients. A robust pretransplant assessment and operative and postoperative planning can mitigate much of the perioperative risk. Importantly, ACHD patients who survive the first year have significantly better 10-year survival compared with non-ACHD patients. The current allocation system gives ACHD patients a relatively high priority, but providers must use the prespecified exception requests for higher status, especially for patients with the Fontan circulation. It is vital that ACHD patients with end-stage heart failure are cared for at centers with ACHD subspecialty care.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transplante de Coração
/
Cardiopatias Congênitas
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Insuficiência Cardíaca
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article