Table 1.
Common Underlying Diagnoses by Age in Patients Requiring Heart Transplant
Age | Diagnosis | Further Details |
---|---|---|
< 1 month (infancy) | Hypoplastic left heart with abnormalities precluding Norwood procedure | Impaired ventricular function and inlet valve regurgitation |
Severe Ebstein’s anomaly | Symptomatic infants | |
Pulmonary atresia with intact ventricular septum and abnormal coronary anatomy | Right ventricular dependent coronary circulation | |
Severe valve abnormalities | eg mitral regurgitation with impaired function. | |
Heterotaxy lesions | Impaired ventricular function and inlet valve regurgitationf | |
>6 months | Single ventricle | At various stages of palliation eg Blalock shunt (infants), Glenn shunt (young child), Fontan (older child) |
Transposition of great arteries | Typically post Mustard or Senning | |
Right ventricular outflow tract lesions | eg post op. repair with impairment of ventricular function | |
Ventricular/atrial septal defect | eg post op. repair with impairment of ventricular function | |
Left ventricular outflow tract lesions | eg post op. repair with impairment of ventricular function | |
Congenitally corrected-transposition of the great arteries | eg post op. repair with impairment of ventricular function. Sometimes post double switch operation | |
Complete atrioventricular septal defects | eg post op. repair with impairment of ventricular function and severe valve regurgitation |