Jeannette Lin MD , Lorraine Lubin MD , Leigh Reardon MD , Gentian Lluri MD, PhD , Jamil Aboulhosn MD , Daniel Cruz MD, PhD , Darko Vucicevic MD , Christopher Wray MD , Sammy Saab MD , Robert Venick MD , Fady Kaldas MD , Ming-Sing Si MD , Reshma Biniwale MD , Glen Van Arsdell MD
{"title":"Addressing Complexities in Fontan Combined Heart-Liver Transplantation: A Collaborative Perspective","authors":"Jeannette Lin MD , Lorraine Lubin MD , Leigh Reardon MD , Gentian Lluri MD, PhD , Jamil Aboulhosn MD , Daniel Cruz MD, PhD , Darko Vucicevic MD , Christopher Wray MD , Sammy Saab MD , Robert Venick MD , Fady Kaldas MD , Ming-Sing Si MD , Reshma Biniwale MD , Glen Van Arsdell MD","doi":"10.1053/j.pcsu.2025.02.004","DOIUrl":null,"url":null,"abstract":"<div><div>In Fontan circulatory failure, heart or combined heart-liver transplantation (CHLT) is considered a final therapeutic option. Fontan patients present unique challenges for the cardiac and liver transplant teams. Improving outcomes of CHLT in Fontan patients requires a multidisciplinary team approach to patient selection, meticulous surgical planning, intraoperative and postoperative management, and continuous learning.</div></div>","PeriodicalId":38774,"journal":{"name":"Pediatric Cardiac Surgery Annual","volume":"28 ","pages":"Pages 117-123"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Cardiac Surgery Annual","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1092912625000079","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
In Fontan circulatory failure, heart or combined heart-liver transplantation (CHLT) is considered a final therapeutic option. Fontan patients present unique challenges for the cardiac and liver transplant teams. Improving outcomes of CHLT in Fontan patients requires a multidisciplinary team approach to patient selection, meticulous surgical planning, intraoperative and postoperative management, and continuous learning.
期刊介绍:
The Pediatric Cardiac Surgery Annual is a companion to Seminars in Thoracic and Cardiovascular Surgery . Together with the Seminars, the Annual provides complete coverage of the specialty by focusing on important developments in pediatric cardiac surgery. Each annual volume has an expert guest editor who invites prominent surgeons to review the areas of greatest change in pediatric cardiac surgery during the year. Topics include 1) Complete Atrioventricular Canal; 2) New Concepts of Cardiac Anatomy and Function -- The Helical Heart; 3) Valve Reconstruction (Replacement) in Congenital Heart Disease; 4) Evolving Developments in Congenital Heart Surgery.