成人先天性心脏病的心脏移植
Heart Transplantation in Adults with Congenital Heart Disease.
作者信息
Fynn-Thompson Francis
机构信息
BOSTON CHILDREN'S HOSPITAL, BOSTON, MASSACHUSETTS.
出版信息
Methodist Debakey Cardiovasc J. 2019 Apr-Jun;15(2):145-148. doi: 10.14797/mdcj-15-2-145.
Abstract
Steady advances in the diagnosis and management of congenital heart disease over the last few decades has resulted in a growing population of adults with congenital heart disease (ACHD). Consequently, there has been a parallel increase in the number of ACHD patients plagued with end-stage heart failure. Even so, the transplantation rate for these patients has remained low, at about 3% of all adult heart transplants. This review discusses the scope of transplantation for ACHD, including indications and contraindications, specific challenges and nuances, and post-transplant outcomes.
摘要
在过去几十年中，先天性心脏病的诊断和治疗取得了稳步进展，导致患有先天性心脏病的成年人口不断增加。因此，患有终末期心力衰竭的先天性心脏病患者数量也相应增加。即便如此，这些患者的移植率仍然很低，约占所有成人心脏移植的3%。本文综述了先天性心脏病成人患者的移植范围，包括适应证和禁忌证、具体挑战和细微差别以及移植后结局。
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