Doctors at the Almazov Center successfully performed a heart transplant on a boy who had already undergone a similar transplant three years ago, at the age of 8. The previous operation was performed in India, after which complications arose related to the body’s immune response.
At the National Medical Research Center named after. V.A. Almazova On April 12, a donor heart was transplanted into an 11-year-old boy who had already had an organ transplant three years ago in India, but complications occurred. The current operation, which lasted 4.5 hours, was successful. The child is in intensive care, the Almazov Center reported.
The boy underwent his first heart transplant in 2018 in India, since in Russia pediatric transplantation is only possible from an adult donor. The child required a transplant due to a diagnosis of dilated cardiomyopathy (myocardial damage characterized by dilation of the cavity of the left or both ventricles and impaired contractile function of the heart). The patient experienced decompensation of heart failure, and his condition deteriorated sharply.
A month after the first operation, the boy began to develop coronaritis – inflammation of the coronary arteries and their overgrowth from the inside. This occurs due to the characteristics of the body’s immune response to donor tissue. To prevent myocardial infarction, the boy underwent coronary artery stenting several times.
Three years later, the condition of the donor heart became the reason for retransplantation, the 11-year-old boy was put on the organ waiting list, and on April 12, 2021, the head of the department of cardiovascular surgery No. 3 of the Almazov Center Vadim Grebennik successfully performed the operation.
There have been only a few such operations in Russia, and in the world such cases are extremely rare, because organ transplantation for a child involves the need to meet many conditions.