The Report of the First 12 Cases of Heart Transplantation among Children at Shahid Rajaei Heart Center

Abstract

Purpose: In the present report, the baseline information and outcome of heart transplantation surgeries among 12 children in our hospital as the first referral heart center for this operation were described.Methods: Twelve patients aged less than 14years that underwent heart transplantation from 2012 to 2015 at Shahid Rajaei Heart Center were retrospectively reviewed.Results: One of the transplanted patients was positive for cytomegalovirus antigen two months after the surgery that was successfully treated. Another patient was diagnosed as giardia-related diarrhea two weeks after grafting that was completely improved. One of the patients suffered renal aspergillus abscess 10months later that was finally discharged after complete treatment. With respect to graft rejection, 2 cases suffered rejection that both improved fortunately and were discharged after treatment. Only one patient died early due to C and S proteins deficiency and coagulation problems. Although the patient was undertreated with ECMO protocol, he died due to brain death after a week of transplantation. Conclusion:In our short-term experience, we could achieve an appropriate procedural outcome with low death rate and controlled postoperative complications following heart transplantation in our required children.