查看文章

Previous studies have indicated that results for orthotopic heart transplantation (OHT) in patients with surgically palliated hypoplastic left heart (HLHS) are worse compared with patients with other forms of congenital heart disease (CHD) or acquired cardiomyopathy (CM) as well as those undergoing primary OHT for HLHS. In light of the decreasing donor pool for transplantation and increasing numbers of palliated HLHS patients with improving survival, we sought to review our results for OHT in surgically palliated HLHS patients and failing Glenn or Fontan circulations.

We conducted a single centre, retrospective study of patients undergoing OHT from 2000 to 2011. Patients who were transplanted following any of the three stages of palliation were included. Indications for OHT were severe impairment of systemic right ventricular (RV) function with …