Indication for Transplantation in a Patient with Univentricular Heart
A. Sglimbea, M. Opriş, M. Suciu, M. Ispas, R. Deac, H. SuciuOriginal article, no. 6, 2013
Surgical correction of the univentrivular heart is an achievementof the last 4-5 decades. The Fontan pathway is nowadaysan established but continuously improving surgical technique.Nevertheless, attrition of the univentricular heart is a wellknownprocess, its timing depending on several factors:technique, time of operation, type of ventricle aso. The studygroup is represented by 39 patients with univentricularcirculation, operated (37 partial-PCPC and 2 total - TCPCcavo-pulmonary anastomosis) in our clinic between 2006 -2012. Out of this group, 2 patients have reached the stage ofindication for heart transplantation: 1 has already been transplantedand one is listed for transplantation. The indicationwas in both a failing ventricle of left-type univentricular heart,in a PCPC status, performed after 14 years of age. Evolution inthe transplanted patient is good. In conclusion, the option ofheart transplantation should be available and kept in mind forthe operated univentricular heart even at pediatric ages, aslocal peculiarities cause these hearts to fail even earlier thandescribed in the literature.