Heart Transplant: Transplantation for Congenital Heart Disease

摘要

Cardiac transplantation for congenital heart disease incorporates aspects of both reparative and replacement surgery. Although intracardiac congenital malformations are replaced, and therefore pose few obstacles to the transplant surgeon, extracardiac malformations (congenital, acquired, or iatrogenic) can present considerable challenges to the operative team. Before transplantation, a full comprehension of the operative plan for the management of each individual patient is essential for both the donor team (so that they may harvest donor tissue of appropriate amounts to allow for adequate reconstruction) and the recipient anesthesia-surgical team (so that they may have several contingency plans for the safe establishment of cardiopulmonary bypass and full cardiac support during cardiectomy). Several recent