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KMID : 0364020090420050630
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Korean Journal of Thoracic and Cardiovascular Surgery
2009 Volume.42 No. 5 p.630 ~ p.634
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Transplantation of an Extremely Oversized Heart after Prolonged Extracorporeal Membrane Oxygenation Assistance in a 3-month-old Infant with Congenital Heart Disease
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Cho Hyun-Jin
Seo Dong-Man
Jang Won-Kyoung
Park Chun-Soo
Kim Young-Hwue
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Abstract
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According to the 2007 International Society for Heart and Lung Transplantation (ISHLT) report, a congenital diagnosis, infantile transplantation and being on extracorporeal membrane oxygenation (ECMO) at the time of transplant are risk factors for mortality for the patients who undergo a heart transplant, and a large body weight ratio also increases the risk of mortality. The patient of this case underwent a Ross operation and mitral valve repair due to left ventricle outflow track obstruction and mitral regurgitation. But the baby was treated with ECMO due to heart failure after the operation. When he was 3-months-old and had been on 30 days of ECMO, he underwent a heart transplant with a heart that had a high donor-recipient weight ratio (4.42). We present this case from a technical standpoint and we include a review of the relevant literature.
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KEYWORD
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Heart transplantation, Extracorporeal membrane oxygenation, Congenital heart disease
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