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While most experience with CHLT has involved adult patients, the expanding population of children born with univentricular congenital heart disease who underwent the Fontan procedure and develop Fontan\u2010associated liver disease (FALD) has emerged as a growing indication for pediatric CHLT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Currently, CHLT is performed at a select subset of experienced transplant centers, especially in the pediatric population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>While technically demanding, CHLT may offer survival benefit when compared to heart transplant alone with decreased rejection of both synchronous allografts and equivalent outcomes with respect to waitlist time and post\u2010operative complications. Limitations in the technique can be attributed to need for an appropriate multidisciplinary care center, challenges with donor organ availability and allocation, and the complexity associated with patient selection and peri\u2010operative management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this review, we summarize the history of CHLT, discuss patient selection, and highlight key facets of peri\u2010operative care in the pediatric population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.14633","type":"journal-article","created":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T05:38:45Z","timestamp":1698644325000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Review of pediatric combined heart\u2010liver transplantation: A roadmap to success"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8681-8257","authenticated-orcid":false,"given":"Jason T. 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