Use of Donor with Wolff-Parkinson-White Syndrome in Heart Transplantation: Report of Two Cases and Review of Literature

Detalhes bibliográficos
Autor(a) principal: Antonio Groppo Solf, Noedir
Data de Publicação: 2022
Outros Autores: Honorato, Ronaldo, Fiorelli, Alfredo, Bacal, Fenando, Jatene, Fabio
Tipo de documento: Artigo
Idioma: por
eng
spa
Título da fonte: Brazilian Journal of Transplantation
Texto Completo: https://bjt.emnuvens.com.br/revista/article/view/443
Resumo: Donor shortage is a major limitation of heart transplantation. The use of high risk or marginal donors, donors with minor or correctable heart diseases are alternatives to face this problem. When identified in the evaluation, donors with Wolff-Parkinson-White syndrome (WPWS) are usually discarded for cardiac transplantation. In the literature, there are eight articles reportingsingle case of transplantation with donor with this syndrome. In this series, the management of recipient varied: clinical treatment, intraoperative donor heart anomalous band ablation and postoperative ablation. Results were good in all the eight cases. In the present article, we report two cases of cardiac transplantation with donors with WPWS, one treated clinically and the other one submitted to postoperative ablation. Based in the present experience and limited to eight reported cases, it seems that this type of donor heart can besuccessfully transplanted. It is controversial the management strategy for these patients. Careful evaluation of heart donor should be done regarding the presence of WPWS.
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spelling Use of Donor with Wolff-Parkinson-White Syndrome in Heart Transplantation: Report of Two Cases and Review of LiteratureUso de Donante con Síndrome de Wolff-Parkinson-White en Trasplante de Corazón: Informe de dos Casos y Revisión de la BibliografíaUso de Doador com Síndrome de Wolff-Parkinson-White no Transplante Cardíaco: Relato de Dois Casos e Revisão da LiteraturaTransplante cardíacoDoadores de tecidoSíndrome de Wolff- Parkinson-WhiteTrasplante de corazónSíndrome de Wolff- Parkinson-WhiteDonantes de tejidosHeart transplantationTissue donorsDonor shortage is a major limitation of heart transplantation. The use of high risk or marginal donors, donors with minor or correctable heart diseases are alternatives to face this problem. When identified in the evaluation, donors with Wolff-Parkinson-White syndrome (WPWS) are usually discarded for cardiac transplantation. In the literature, there are eight articles reportingsingle case of transplantation with donor with this syndrome. In this series, the management of recipient varied: clinical treatment, intraoperative donor heart anomalous band ablation and postoperative ablation. Results were good in all the eight cases. In the present article, we report two cases of cardiac transplantation with donors with WPWS, one treated clinically and the other one submitted to postoperative ablation. Based in the present experience and limited to eight reported cases, it seems that this type of donor heart can besuccessfully transplanted. It is controversial the management strategy for these patients. Careful evaluation of heart donor should be done regarding the presence of WPWS.La escasez de donantes es una limitación importante del trasplante de corazón. La utilización de donantes de alto riesgo o marginales, donantes con cardiopatías menores o corregibles son alternativas para afrontar este problema. Cuando se identifican en la evaluación, los donantes con síndrome de Wolff- Parkinson-White (WPWS) generalmente se descartan para trasplante cardíaco. En la bibliografía, hay ocho artículos que reportan un solo caso de trasplante con donante con este síndrome. En esta serie, el manejo del receptor varió:tratamiento clínico, ablación intraoperatoria de la banda anómala del corazón del donante y ablación posoperatoria. Los resultados fueron buenos en los ocho casos. En el presente artículo reportamos dos casos de trasplante cardíaco con donantes con WPWS, uno tratado clínicamente y el otro sometido a ablación posoperatoria. Con base en la experiencia actual y limitada a ocho casos informados, parece que este tipo de corazón de donante se puede trasplantar con éxito. Es controvertida la estrategia de manejo de estos pacientes. Se debe realizar una evaluación cuidadosa del donante de corazón con respecto a la presencia de WPWS.A escassez de doadores é uma grande limitação para o transplante de coração. O uso de doadores de alto risco ou marginais, doadores com doenças cardíacas menores ou corrigíveis, são alternativas para enfrentar esse problema. Quando identificados na avaliação, os doadores com síndrome de WolffParkinson-White (SWPW) são geralmente descartados para transplante cardíaco. Na literatura, há oito artigos relatando casos únicos de transplante com doador com essa síndrome. Nessa linha, a administração do receptor variou: tratamento clínico, ablação intraoperatória da banda anômala do coração do doador e ablação pós-operatória. Os resultados foram bons em todos os oito casos. No presente artigo, relatamos dois casos de transplante cardíaco de doadores com SWPW, um tratado clinicamente e outro submetido à ablação pós-operatória. Com base na experiência atual e limitado a oito casos relatados, parece que esse tipo de coração doador pode ser transplantado com sucesso. No entanto, a estratégia de administração para esses pacientes é controversa. Uma avaliação cuidadosa dodoador do coração deve ser feita em relação à presença da SWPW.Associação Brasileira de Transplante de Órgãos (ABTO)2022-09-20info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/pdfhttps://bjt.emnuvens.com.br/revista/article/view/443Brazilian Journal of Transplantation; Vol. 25 No. 3 (2022)Brazilian Journal of Transplantation; v. 25 n. 3 (2022)2764-1589reponame:Brazilian Journal of Transplantationinstname:Associação Brasileira de Transplante de Órgãos (ABTO)instacron:ABTOporengspahttps://bjt.emnuvens.com.br/revista/article/view/443/486https://bjt.emnuvens.com.br/revista/article/view/443/487https://bjt.emnuvens.com.br/revista/article/view/443/488Copyright (c) 2022 Noedir Antonio Groppo Solf, Ronaldo Honorato, Alfredo Fiorelli, Fenando Bacal, Fabio Jateneinfo:eu-repo/semantics/openAccessAntonio Groppo Solf, NoedirHonorato, RonaldoFiorelli, Alfredo Bacal, Fenando Jatene, Fabio2022-09-27T10:32:40Zoai:ojs3.emnuvens.com.br:article/443Revistahttps://bjt.emnuvens.com.br/revistaONGhttps://bjt.emnuvens.com.br/revista/oaibjt@abto.org.brhttps://doi.org/10.53855/2764-15892764-1589opendoar:2022-09-27T10:32:40Brazilian Journal of Transplantation - Associação Brasileira de Transplante de Órgãos (ABTO)false
dc.title.none.fl_str_mv Use of Donor with Wolff-Parkinson-White Syndrome in Heart Transplantation: Report of Two Cases and Review of Literature
Uso de Donante con Síndrome de Wolff-Parkinson-White en Trasplante de Corazón: Informe de dos Casos y Revisión de la Bibliografía
Uso de Doador com Síndrome de Wolff-Parkinson-White no Transplante Cardíaco: Relato de Dois Casos e Revisão da Literatura
title Use of Donor with Wolff-Parkinson-White Syndrome in Heart Transplantation: Report of Two Cases and Review of Literature
spellingShingle Use of Donor with Wolff-Parkinson-White Syndrome in Heart Transplantation: Report of Two Cases and Review of Literature
Antonio Groppo Solf, Noedir
Transplante cardíaco
Doadores de tecido
Síndrome de Wolff- Parkinson-White
Trasplante de corazón
Síndrome de Wolff- Parkinson-White
Donantes de tejidos
Heart transplantation
Tissue donors
title_short Use of Donor with Wolff-Parkinson-White Syndrome in Heart Transplantation: Report of Two Cases and Review of Literature
title_full Use of Donor with Wolff-Parkinson-White Syndrome in Heart Transplantation: Report of Two Cases and Review of Literature
title_fullStr Use of Donor with Wolff-Parkinson-White Syndrome in Heart Transplantation: Report of Two Cases and Review of Literature
title_full_unstemmed Use of Donor with Wolff-Parkinson-White Syndrome in Heart Transplantation: Report of Two Cases and Review of Literature
title_sort Use of Donor with Wolff-Parkinson-White Syndrome in Heart Transplantation: Report of Two Cases and Review of Literature
author Antonio Groppo Solf, Noedir
author_facet Antonio Groppo Solf, Noedir
Honorato, Ronaldo
Fiorelli, Alfredo
Bacal, Fenando
Jatene, Fabio
author_role author
author2 Honorato, Ronaldo
Fiorelli, Alfredo
Bacal, Fenando
Jatene, Fabio
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Antonio Groppo Solf, Noedir
Honorato, Ronaldo
Fiorelli, Alfredo
Bacal, Fenando
Jatene, Fabio
dc.subject.por.fl_str_mv Transplante cardíaco
Doadores de tecido
Síndrome de Wolff- Parkinson-White
Trasplante de corazón
Síndrome de Wolff- Parkinson-White
Donantes de tejidos
Heart transplantation
Tissue donors
topic Transplante cardíaco
Doadores de tecido
Síndrome de Wolff- Parkinson-White
Trasplante de corazón
Síndrome de Wolff- Parkinson-White
Donantes de tejidos
Heart transplantation
Tissue donors
description Donor shortage is a major limitation of heart transplantation. The use of high risk or marginal donors, donors with minor or correctable heart diseases are alternatives to face this problem. When identified in the evaluation, donors with Wolff-Parkinson-White syndrome (WPWS) are usually discarded for cardiac transplantation. In the literature, there are eight articles reportingsingle case of transplantation with donor with this syndrome. In this series, the management of recipient varied: clinical treatment, intraoperative donor heart anomalous band ablation and postoperative ablation. Results were good in all the eight cases. In the present article, we report two cases of cardiac transplantation with donors with WPWS, one treated clinically and the other one submitted to postoperative ablation. Based in the present experience and limited to eight reported cases, it seems that this type of donor heart can besuccessfully transplanted. It is controversial the management strategy for these patients. Careful evaluation of heart donor should be done regarding the presence of WPWS.
publishDate 2022
dc.date.none.fl_str_mv 2022-09-20
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://bjt.emnuvens.com.br/revista/article/view/443
url https://bjt.emnuvens.com.br/revista/article/view/443
dc.language.iso.fl_str_mv por
eng
spa
language por
eng
spa
dc.relation.none.fl_str_mv https://bjt.emnuvens.com.br/revista/article/view/443/486
https://bjt.emnuvens.com.br/revista/article/view/443/487
https://bjt.emnuvens.com.br/revista/article/view/443/488
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Associação Brasileira de Transplante de Órgãos (ABTO)
publisher.none.fl_str_mv Associação Brasileira de Transplante de Órgãos (ABTO)
dc.source.none.fl_str_mv Brazilian Journal of Transplantation; Vol. 25 No. 3 (2022)
Brazilian Journal of Transplantation; v. 25 n. 3 (2022)
2764-1589
reponame:Brazilian Journal of Transplantation
instname:Associação Brasileira de Transplante de Órgãos (ABTO)
instacron:ABTO
instname_str Associação Brasileira de Transplante de Órgãos (ABTO)
instacron_str ABTO
institution ABTO
reponame_str Brazilian Journal of Transplantation
collection Brazilian Journal of Transplantation
repository.name.fl_str_mv Brazilian Journal of Transplantation - Associação Brasileira de Transplante de Órgãos (ABTO)
repository.mail.fl_str_mv bjt@abto.org.br
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