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Successful cardiac transplantation in a patient with congenital generalized lipodystrophy
Author(s) -
MarcosAlonso Sonia,
BautistaHernandez Víctor,
Portela Torrón Francisco
Publication year - 2016
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/petr.12656
Subject(s) - medicine , dyslipidemia , transplantation , lipodystrophy , heart transplantation , surgery , cardiomyopathy , cardiac function curve , cardiology , heart failure , disease , family medicine , human immunodeficiency virus (hiv) , antiretroviral therapy , viral load
We report a case of a 12‐yr‐old boy referred to our unit with congenital generalized lipodystrophy and dilated cardiomyopathy related to a lamin gene mutation. He progressively developed end‐stage heart failure and was referred for heart transplant evaluation. The patient's lipid profile, glucose level, and renal function were normal, and vascular retinopathy was ruled out. He underwent orthotopic bicaval HT and had an uneventful recovery. He was discharged home two wk after surgery with good graft function. During follow‐up, he developed hyperglycemia and dyslipidemia, which were controlled by increasing leptin dose and starting oral antidiabetic drugs. The patient is currently doing well two yr after transplantation.