日本小児循環器学会雑誌 第24巻 第6号（672-676） 2008年
Heart transplantation (HTx) represents established procedures in end-stage heart failure patients and can result in satisfying long-term results even in children. However, no children who weigh less than 15 kg can undergo heart transplantation in Japan, because the Japanese Organ Transplantation Law issued in 1997 requires living written consent for organ donation after brain death and the living written consent of children under 15 years of age cannot be approved. Therefore, 71 Japanese children have undergone transplantation outside Japan since 1984. Their underlying diseases are mainly dilated or restrictive cardiomyopathy. Although 10 children died after HTx, the one-, five- and 10-year survival rates were 96%, 88%, and 74%, respectively. This article describes how to mentally manage children before and after HTx as carried out in Osaka University Hospital. Fortunately, all 17 children are happily alive within 9 months to 15 years of HTx with great appreciation for their donors.
pediatric heart transplantation，oversea transplantation，mechanical circulatory support，foreign donor，psychological support
〒565-0871 大阪府吹田市山田丘 2-15 大阪大学医学部附属病院移植医療部 福嶌 教偉