Revolutionary Partial Heart Transplants Offer Hope for Children with Heart Defects
March 20, 2025
Dr. Taufiek Rajab of Arkansas Children's Hospital has developed a groundbreaking approach to address the needs of children requiring heart valves through partial heart transplants.
Rajab's innovative hypothesis posits that intact heart valves can be transplanted, allowing them to grow with the child and significantly reducing the need for repeat surgeries.
Congenital heart defects, which affect 1 in 100 babies, create a pressing demand for innovative solutions in valve replacement, as traditional options often fall short.
Most transplanted heart valves are decellularized and static, making them unsuitable for the growing bodies of children.
Since the first successful partial heart transplant in April 2022, there have been 30 surgeries performed globally, marking a significant advancement in pediatric cardiac care.
The procedure was initially tested in piglets, leading to the first human partial heart transplant performed on a 17-day-old infant named Owen, who is now thriving after one year.
In a recent case, an 11-year-old girl donated her healthy valves, which were successfully transplanted into two younger girls, demonstrating the expanding possibilities of this innovative procedure.
Partial heart transplants not only provide immediate medical benefits but also enhance the availability of living donor valves and lower the chances of organ rejection.
This procedure creates a 'domino effect' of life-saving surgeries, contingent on regulatory support from organ procurement organizations.
While heart transplantation is a potential solution, long waiting lists and the failure of devices like left ventricular assist devices in children with valve issues highlight the need for alternatives.
Unlike adults, who have various options for heart valve replacement, children face unique challenges as artificial valves require frequent replacements as they grow.
Dr. Douglas Overbey from Duke University Medical Center is also pioneering the partial heart transplant procedure, which involves transplanting living valves and heart muscle into infants.
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Medscape • Mar 20, 2025
The Partial Heart Transplant Because Kids Grow, Valves Don’t