Heart Transplantation in Adult Patients with Congenital Heart Diseas

Background: Over recent decades, congenital heart disease (CHD) patients have posed new challenges in the management ofcomplications, both of the original condition as of the corrective surgeries that have allowed them to reach adulthood.Objective: The aim of this study was to report the outcomes and evolution of CHD patients who had been evaluated fortransplantation in a tertiary care center.Using the institutional database, data from 11 patients with different congenital diseases were evaluated for transplantation.A total of 5 patients underwent transplantation, with a 1.6-year survival rate of 80%. Mortality rate was 66% for patients whowere on the waiting list but were not transplanted, and 35% for those who were ruled out due to comorbidities.Conclusion: Heart transplantation in CHD adult patients present a higher periprocedural risk than in patients with acquiredheart diseases. However, those who survive the first post-transplant year have an excellent long-term outcome.