Cited by 30Transplantation: Methods and OutcomesMechanical Circulatory Support DevicesCongenital Heart Disease Studies

Cancer recurrence and mortality after pediatric heart transplantation for anthracycline cardiomyopathy: A report from the Pediatric Heart Transplant Study ( PHTS ) group

Bock, Matthew J., Pahl, Elfriede, Rusconi, Paolo G., Boyle, Gerard J., Parent, John J., Twist, Clare J., Kirklin, James K., Pruitt, Elizabeth +1 more·2017·Pediatric Transplantation

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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Crossref · 10.1111/petr.12923

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13 of 13 references verified0 citation errors · 0 not checkable

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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.
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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