Partial Heart Transplant
If your child has a damaged or abnormal heart valve, a partial heart transplant may be an option. This procedure replaces your child’s diseased valve with a donated valve that can grow as your child grows. Unlike traditional valve replacements, living donor valve tissue can adapt over time. This may help reduce the number of surgeries your child may need in the future.
At University of Iowa Health Care Stead Family Children’s Hospital, your child’s care is guided by a multidisciplinary pediatric heart team experienced in treating complex congenital heart conditions. We work closely with you to evaluate your child’s heart health and determine whether a partial heart transplant may be the right treatment.
Collaborative care for innovative pediatric heart treatment
A partial heart transplant replaces only the diseased heart valve rather than the entire heart. During surgery, your child’s surgeon removes the abnormal valve and replaces it with a donor heart valve that can function naturally and grow with your child.
This approach can be especially beneficial for infants and young children. Traditional mechanical and bioprosthetic valves do not grow with a child as they grow. As a result, children who receive those valves often require multiple surgeries over time to replace them with larger valves. A transplanted living valve may grow with your child’s heart, which may reduce the number of future open-heart surgeries.
What to expect
Before surgery
Before a partial heart transplant, your child will undergo a detailed transplant evaluation. This evaluation helps your care team determine whether this procedure is the right option.
- Echocardiograms
- Cardiac magnetic resonance imaging (MRI) or computed tomography (CT) scans
- Blood tests and lab work
- Consultations with transplant specialists
Your care team will review the results with you and explain the next steps.
Day of surgery
Your child’s procedure is performed under general anesthesia by pediatric cardiac surgeons. During surgery, the damaged valve is replaced with donor valve tissue while the rest of your child’s heart remains intact.
Recovery
Recovery after a partial heart transplant is similar to recovery after other valve replacement surgeries. Your child will spend time in the cardiac intensive care unit so the care team can closely monitor healing and heart function.
Long-term care
After surgery, your child will continue to see their cardiologist and transplant team for regular follow-up visits. Because the valve tissue comes from a donor, your child will take immunosuppressive medication after surgery, though typically at lower levels than required for a full heart transplant.
Who can benefit from a partial heart transplant
A partial heart transplant may be an option if your child has an abnormal heart valve but otherwise normal heart function. Because only the affected valve is replaced, your child may not need a full heart transplant.
Your child’s care team may consider this procedure for conditions such as:
- Pulmonary valve stenosis
- Aortic valve stenosis
- Truncus arteriosus
- Pulmonary atresia
- Other congenital heart valve abnormalities
- Certain complex congenital heart defects that affect the valves
Our pediatric transplant specialists carefully evaluate each child to determine whether a partial heart transplant or another treatment option is the most appropriate approach.
Other treatments for pediatric valve disease
Depending on your child’s condition, other treatment options may be recommended.
These may include:
- Surgical valve repair
- Mechanical valve replacement
- Bioprosthetic valve replacement
- Catheter-based procedures
Your child’s care team will work with you to determine which treatment option best supports your child’s long-term heart health.
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