{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T17:14:03Z","timestamp":1758474843248,"version":"3.33.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2014,3,25]],"date-time":"2014-03-25T00:00:00Z","timestamp":1395705600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:sec><jats:title>Purpose:<\/jats:title><jats:p> To describe the indications and outcomes for pediatric patients and patients with congenital heart disease (CHD) undergoing heart transplantation (HT) in New Zealand. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> A retrospective audit of 253 patients who underwent HT from 1987 to end 2012 was undertaken. Thirty-seven patients were subdivided into two groups, those aged &lt;18 years\u2014pediatric heart disease (PHD) and those with CHD. Six patients aged &lt;18 years were included in both the analyses. Demographic and clinical information were collected and outcomes established. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Overall actuarial survival of 37 patients with PHD or CHD was 92% at one year, 85% at five years, and 52% at ten years. The PHD group comprised 22 (8.7%) patients, median age 14 years (range 6-17), 14 (64%) male, with cardiomyopathy in 13, CHD in 6, and rheumatic heart disease in 3. At follow-up, 11 patients had died. Actuarial survival was 91% at one year and 79% at five years. Of the four patients with a mechanical assist device to bridge, three were transplanted and alive at follow-up. The CHD group comprised 21 (8.3%) patients, median age 25 years (range 6-48) and 19 (90%) were male. At follow-up, three patients had died. Actuarial survival was 95% at one year, 94% at five years, and 85% at ten years. All five patients with pre-HT Fontan circulation were alive a median of eight years following HT. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Heart transplantation for carefully selected pediatric patients and patients with CHD can be successfully performed with favorable outcomes in a geographically isolated unit. <\/jats:p><\/jats:sec>","DOI":"10.1177\/2150135113519456","type":"journal-article","created":{"date-parts":[[2014,3,25]],"date-time":"2014-03-25T18:55:44Z","timestamp":1395773744000},"page":"200-205","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Heart Transplantation in Pediatric and Congenital Heart Disease"],"prefix":"10.1177","volume":"5","author":[{"given":"Santuri","family":"Rungan","sequence":"first","affiliation":[{"name":"Green Lane Pediatric and Congenital Cardiac Services, Starship Children\u2019s Hospital, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsten","family":"Finucane","sequence":"additional","affiliation":[{"name":"Green Lane Pediatric and Congenital Cardiac Services, Starship Children\u2019s Hospital, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Gentles","sequence":"additional","affiliation":[{"name":"Green Lane Pediatric and Congenital Cardiac Services, Starship Children\u2019s Hospital, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen C.","family":"Gibbs","sequence":"additional","affiliation":[{"name":"New Zealand Heart and Lung Transplant Service, Auckland City Hospital, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rong","family":"Hu","sequence":"additional","affiliation":[{"name":"Research Office, Auckland City Hospital, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter N.","family":"Ruygrok","sequence":"additional","affiliation":[{"name":"New Zealand Heart and Lung Transplant Service, Auckland City Hospital, Auckland, New 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