Diez años de trasplante cardiaco en Pediatría: experiencia en el Hospital Infantil de México Federico Gómez Ten-year experience of pediatric heart transplants: Hospital Infantil de México Federico Gómez experience

Background. The Hospital Infantil de Mexico Federico Gomez (National Institute of Health, Mexico) is recognized as a referral center for pediatric solid organ transplants nationwide. The fi rst heart transplant was carried out in the institution on June 21, 2001, thereby establishing a program for pediatric heart transplant for the fi rst time in Mexico. We present the results of a 10-year period. Methods. We carried out a descriptive study including all patients undergoing heart transplantation at the Hospital Infantil de Mexico “Federico Gomez” from 2001 to 2011. Results. There were 23 heart transplants performed in our hospital with 11 females and 12 males. The most frequent indication for transplantation was dilated cardiomyopathy. Currently, we have a 50% survival rate with an improvement in survival each year during the past 5 years. At 10 years of heart transplantation in our unit, we found a signifi cant difference between survival of patients with congenital heart disease vs. dilated cardiomyopathy. Signifi cant differences were also shown in regard to complications. Conclusions. Pediatric heart transplantation has evolved into a therapeutic option for complex congenital heart disease and endstage cardiomyopathy.