Article ; Online: Heart transplantation for infective endocarditis: Viable option for a limited few?
Transplant infectious disease : an official journal of the Transplantation Society
2018 Volume 21, Issue 1, Page(s) e13006
Abstract: Active infection in the recipient is considered a relative contraindication for solid organ transplantation. However, heart transplantation (HT) can be curative in patients with ventricular assist device infections. For patients with infective ... ...
Abstract | Active infection in the recipient is considered a relative contraindication for solid organ transplantation. However, heart transplantation (HT) can be curative in patients with ventricular assist device infections. For patients with infective endocarditis (IE), valve replacement is part of the management strategy based on emergent, acute, or elective indications. HT has been utilized as an uncommon and sporadic treatment option for carefully selected patients with refractory or recurrent IE after all other surgical treatment options have been exhausted or are not feasible. Herein, we review 19 published cases of IE in whom HT was undertaken in the setting of ongoing active infection with reported good outcomes. We attempt to propose general criteria for HT in the setting of IE and discuss challenges and hurdles that clinicians might encounter when considering HT for active IE in the absence of robust data or clearly defined criteria. |
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MeSH term(s) | Endocarditis/etiology ; Endocarditis/surgery ; Heart Transplantation/methods ; Heart-Assist Devices/adverse effects ; Humans ; Patient Selection ; Prosthesis-Related Infections/etiology ; Prosthesis-Related Infections/surgery ; Treatment Outcome |
Language | English |
Publishing date | 2018-10-28 |
Publishing country | Denmark |
Document type | Journal Article ; Review |
ZDB-ID | 1476094-0 |
ISSN | 1399-3062 ; 1398-2273 |
ISSN (online) | 1399-3062 |
ISSN | 1398-2273 |
DOI | 10.1111/tid.13006 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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