Cancer recurrence and mortality after pediatric heart transplantation for anthracycline cardiomyopathy: A report from the Pediatric Heart Transplant Study ( PHTS ) group
Abstract
We aimed to determine whether malignancy after pediatric HT x for ACM affects overall post‐ HT x survival. Patients <18y listed for HT x for ACM in the PHTS database between 1993 and 2014 were compared to those with DCM . A 2:1 matched DCM cohort was also compared. Wait‐list and post‐ HT x survival, along with freedom from common HT x complications, were compared. Eighty subjects were listed due to ACM , whereas 1985 were listed for DCM . Although wait‐list survival was higher in the ACM group, post‐ HT x survival was lower for the ACM cohort. Neither difference persisted in the matched cohort analysis. Primary cause of death in the ACM group was infection, which was higher than the DCM group. Malignancy rates were not different. All ACM malignancies were due to PTLD without primary cancer recurrence or SMN . Long‐term graft survival after pediatric HT x for ACM is no different than for matched DCM peers, nor is there an increased risk of any malignancy. However, risk of infection and death from infection after HT x are higher in the ACM group. Further studies are needed to assess the effects of prior chemotherapy on susceptibility to infection in this group.
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Allogeneic heart transplants may be indicated for severe cases of anthracycline-induced heart failure.
“Allogeneic heart transplants may be indicated for severe cases 165,166 .”
From Osteosarcoma (2022) · cites this paper as [165]
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- Authors
- Bock, M. J., Pahl, E., Rusconi, P. G., Boyle, G. J., Parent, J. J., Twist, C. J., Kirklin, J. K., Pruitt, E., & Bernstein, D.
- Affiliations
- Loma Linda University Children's Hospital (US)
- Northwestern University (US)
- University of Miami (US)
- Cleveland Clinic (US)
- Riley Hospital for Children (US)
- Stanford Medicine (US)
- University of Alabama at Birmingham (US)
- Corresponding author
- Bock, Matthew J.
- ORCID
- Venue
- Pediatric Transplantation
- Publisher
- Wiley
- Published
- 2017-04-04
- Volume
- 21
- Issue
- 5
- ISSN
- 1397-3142 (ISSN-L)
- 1399-3046
- OpenAlex
- W2604888898
- Cited by
- 30
- References
- 13
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 4 · 2021: 6 · 2020: 3 · 2019: 4 · 2018: 2 · 2017: 3
- FWCI
- 3.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pediatric Transplantation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Alabama at Birmingham
- Topics
- Health Sciences › Medicine › Surgery › Transplantation: Methods and Outcomes
- Physical Sciences › Engineering › Biomedical Engineering › Mechanical Circulatory Support Devices
- Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
- Keywords
- pediatric heart transplantation, anthracycline-induced cardiomyopathy, tumor recurrence, post-transplant mortality, post-transplant survival, primary graft dysfunction, post-transplant lymphoproliferative disorder, dilated cardiomyopathy, graft survival, prior chemotherapy
- MeSH terms
- Adolescent, Antineoplastic Agents, Child, Child, Preschool, Female, Follow-Up Studies, Humans, Infant, Infant, Newborn, Male, Cardiomyopathies, Neoplasm Recurrence, Local, Neoplasms, Postoperative Complications, Retrospective Studies, Survival Analysis, Case-Control Studies, Heart Transplantation, Anthracyclines
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