The hurdles of providing mechanical circulatory support to children with congenital heart disease

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The hurdles of providing mechanical circulatory support to children with congenital heart disease.

We are now facing an increasing population of previously operated patients with congenital heart disease waiting for heart transplantation. Because of the shortage of donor organs, it is likely that the number of those requiring long-term VAD support will increase. In this perspective, reports such as the one from the team of Newcastle are essential to deepen our understanding of the best strat...

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Heart transplantation with or without prior mechanical circulatory support in adults with congenital heart disease.

OBJECTIVES Recent analyses establish that heart transplantation is increasing among adults with congenital heart disease (ACHD), but the effects of pretransplant mechanical circulatory support (MCS) on perioperative and post-transplant outcomes have not been examined in the ACHD population. METHODS Scientific Registry of Transplant Recipients data on all adult heart transplants from September...

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The Rate of Addiction in Parents of Children with Congenital Heart Disease Compared with Healthy Children

BackgroundCongenital heart diseases (CHD) are the most common congenital anomaly in children and also the leading cause of mortality from congenital anomalies. Various factors including smoking, drinking alcohol and addiction play role in development of congenital heart diseases. This study was conducted with the aim of investigation of the prevalence of addiction in parents of children with co...

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Mechanical Circulatory Support for End-Stage Heart Failure in Repaired and Palliated Congenital Heart Disease

Approximately one in one hundred children is born with congenital heart disease. Most can be managed with corrective or palliative surgery but a small group will develop severe heart failure, leaving cardiac transplantation as the ultimate treatment option. Unfortunately, due to the inadequate number of available donor organs, only a small number of patients can benefit from this therapy, and m...

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Mechanical Circulatory Support in Children

The field of pediatric mechanical circulatory support has undergone a significant evolution with the advent of devices designed for children and the implementation of new strategies for deployment. With the ongoing shortage of organs the demand for new devices specifically designed for children will only increase. This review discusses the evolution of mechanical circulatory support, available ...

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 2014

ISSN: 1010-7940,1873-734X

DOI: 10.1093/ejcts/ezu086