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Azeka E, Siqueira AWDS, Tanaka AC, Massoti MRB, Miana L, Zorzanelli L, Guimarães V, Penha J, Caneo LF, Tanamati C, Miura N, Jatene MB. Heart Transplantation in Children and Adults With Congenital Heart Disease: 3 Decades of Evolution. Transplant Proc 2023; 55:1429-1430. [PMID: 37344300 DOI: 10.1016/j.transproceed.2023.05.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 05/10/2023] [Accepted: 05/30/2023] [Indexed: 06/23/2023]
Abstract
Heart transplantation is the treatment of choice for children and adults with congenital heart disease. We report the heart transplant single-center experience. The number of transplantations has increased over the last 3 decades. The Kaplan-Meier survival curves in the first, second, and third decades at 5 and 10 years were 69% and 59%, 62% and 52%, and 66% and 60%, respectively.
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Affiliation(s)
- Estela Azeka
- Instituto do Coração (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo Brazil.
| | | | - Ana Cristina Tanaka
- Instituto do Coração (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo Brazil
| | - Maria Raquel Brigoni Massoti
- Instituto do Coração (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo Brazil
| | - Leonardo Miana
- Instituto do Coração (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo Brazil
| | - Leina Zorzanelli
- Instituto do Coração (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo Brazil
| | - Vanessa Guimarães
- Instituto do Coração (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo Brazil
| | - Juliano Penha
- Instituto do Coração (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo Brazil
| | - Luiz Fernando Caneo
- Instituto do Coração (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo Brazil
| | - Carla Tanamati
- Instituto do Coração (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo Brazil
| | - Nana Miura
- Instituto do Coração (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo Brazil
| | - Marcelo Biscegli Jatene
- Instituto do Coração (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo Brazil
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Dinardi LFL, Devido M, Pereira TV, Romano GL, Zorzanelli L, Thomaz AM, Tanaka AC, Siqueira AVDS, Ikari NM, Azeka E. CONGENITAL HEART DISEASE IN ADULTS - A NEW PROFILE INSPIRES A NEW PARADIGM. J Am Coll Cardiol 2021. [DOI: 10.1016/s0735-1097(21)04115-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Kormann-Moreira MC, Martins AVV, Lemouche SO, Santana MD, Tanaka ACS, Zorzanelli L, Thomaz AM, Ikari NM, Avila WS. GOING AGAINST THE ODDS - A CASE OF SUCCESS IN A PREGNANT PATIENT WITH COMPLEX CONGENITAL HEART DISEASE. J Am Coll Cardiol 2021. [DOI: 10.1016/s0735-1097(21)04096-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Penha JGD, Zorzanelli L, Barbosa-Lopes AA, Atik E, Miana LA, Tanamati C, Caneo LF, Miura N, Aiello VD, Jatene MB. Palliative Senning in the Treatment of Congenital Heart Disease with Severe Pulmonary Hypertension. Arq Bras Cardiol 2015; 105:353-61. [PMID: 26559982 PMCID: PMC4632999 DOI: 10.5935/abc.20150097] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2014] [Accepted: 05/18/2015] [Indexed: 11/20/2022] Open
Abstract
Background Transposition of the great arteries (TGA) is the most common cyanotic cardiopathy,
with an incidence ranging between 0.2 and 0.4 per 1000 live births. Many patients
not treated in the first few months of life may progress with severe pulmonary
vascular disease. Treatment of these patients may include palliative surgery to
redirect the flow at the atrial level. Objective Report our institutional experience with the palliative Senning procedure in
children diagnosed with TGA and double outlet right ventricle with severe
pulmonary vascular disease, and to evaluate the early and late clinical
progression of the palliative Senning procedure. Methods Retrospective study based on the evaluation of medical records in the period of
1991 to 2014. Only patients without an indication for definitive surgical
treatment of the cardiopathy due to elevated pulmonary pressure were included. Results After one year of follow-up there was a mean increase in arterial oxygen
saturation from 62.1% to 92.5% and a mean decrease in hematocrit from 49.4% to
36.3%. Lung histological analysis was feasible in 16 patients. In 8 patients,
pulmonary biopsy grades 3 and 4 were evidenced. Conclusion The palliative Senning procedure improved arterial oxygen saturation, reduced
polycythemia, and provided a better quality of life for patients with TGA with
ventricular septal defect, severe pulmonary hypertension, and poor prognosis.
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Affiliation(s)
- Juliano Gomes da Penha
- Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Leina Zorzanelli
- Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | | | - Edimar Atik
- Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Leonardo Augusto Miana
- Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Carla Tanamati
- Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Luiz Fernando Caneo
- Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Nana Miura
- Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Vera Demarchi Aiello
- Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Marcelo Biscegli Jatene
- Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
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Azeka E, Jatene MB, Jatene IB, Horowitz ESK, Branco KC, Souza Neto JD, Miura N, Mattos S, Afiune JY, Tanaka AC, Santos CCL, Guimarães ICB, Manso PH, Pellizari RCRS, Santos MVC, Thomaz AM, Cristofani LM, Ribeiro ACL, Kulikowski LD, Sampaio MC, Pereira AC, Soares A, Soares Junior J, Oh GHY, Moreira V, Mota CCC, Afiune CMC, Pedra C, Pedra S, Pedrosa A, Guimarães V, Caneo LF, Ferreiro CF, Cavalheiro Filho C, Stefanello B, Negrão CE, Turquetto ALR, Mesquita SMF, Maeda WF, Zorzanelli L, Panajotopolos N, Siqueira AWS, Galas FRB, Hajjar LA, Benvenuti LA, Vincenzi P, Odone V, Lopes MH, Strabelli TMV, Franchi SM, Takeuti AD, Duarte MF, Leon RGP, Hermida RPM, Sorpreso ICE, Soares Junior JM, Melo NR, Baracat EC, Bortolotto MRFL, Scanavacca M, Shimoda MS, Foronda G, Romano BW, Silva DB, Omura MM, Barbeiro CPM, Vinhole ARG, Palomo JSH, Gonçalves MAB, Reis ICF, Oliveira LG, Ribeiro CC, Isosaki M, Vieira LP, Feltrim MIZ, Manoel LA, Abud KCO, Paschotto DR, Neves ILI, Senaha LE, Garcia ACCN, Cipriano SL, Santos VC, Ferraz AS, Moreira AELC, De Paulo ARSA, Duque AMPC, Trindade E, Bacal F, Auler Junior JOC, Almeida DR. [I Guidelines of heart failure and heart transplantation in the fetus, in children and adults with congenital cardiopathy, The Brazilian Society of Cardiology]. Arq Bras Cardiol 2015; 103:1-126. [PMID: 25591041 DOI: 10.5935/abc.2014s005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Penha JG, Zorzanelli L, Barbosa-Lopes AA, Aiello VD, Carvalho VO, Caneo LF, Riso ADA, Tanamati C, Atik E, Jatene MB. Heart Neoplasms in Children: Retrospective Analysis. Arq Bras Cardiol 2013; 100:120-6. [PMID: 23503820 DOI: 10.5935/abc.20130024] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2012] [Accepted: 10/05/2012] [Indexed: 11/20/2022] Open
Affiliation(s)
- Juliano Gomes Penha
- Instituto do Coração Unidade de Cirurgia Cardíaca Pediátrica, Hospital das Clínicas, FM, USP, São Paulo, SP, Brasil.
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