Children with life-threatening congenital heart valve defects for whom donor hearts are not available can benefit from partial heart transplants, a small study suggests.
In the first 19 patients to undergo partial heart transplants using only a donor's valves, all valves were still functioning during an average follow-up of six months, according to a report in JAMA from surgeons at Duke University.
The youngest patient was 2 days old at the time of surgery. Eighteen patients were under age 16.
So far, the transplanted valves have been growing as the children grow, researchers reported.
"This study shows that partial heart transplantation is not just a one-time success, it's a versatile option that can be used across a range of heart conditions," study leader Dr. Joseph Turek said in a statement.
"We're seeing valves that grow, function well, and require less immunosuppressant medication than a full heart transplant. That's a huge win for these kids and their families."
None of the patients has needed a further procedure on the new heart valves or had complications from immunosuppression.
In many cases, the procedures were done as so-called domino transplants, in which children receiving complete heart transplants for non-valve conditions donated their usable old heart valves to the partial heart recipients.
How patients and their new valves will fare over longer periods is not clear yet, the authors said.
While partial heart transplantation has the potential to provide growing and living tissue for valve replacement, it "is not a panacea but, rather a promising step forward that requires further refinement," the researchers said.
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