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JAMA Study Finds Living Donor Valves Grow After Partial Heart Transplant in Children

Clinicians call for long-term, multicenter follow-up to weigh benefits against the burden of immunosuppression.

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Overview

  • Researchers reported outcomes for 19 patients treated at Duke between April 2022 and December 2024, most younger than one year, with 11 to 153 weeks of follow-up.
  • All transplanted valves maintained healthy function and demonstrated measurable growth, and no patient required reoperation for valve failure.
  • One child discontinued anti-rejection medication because of an unrelated infection yet the transplanted valve continued to grow and function.
  • The approach was applied across multiple congenital diagnoses, and investigators noted it typically uses less immunosuppression than a full heart transplant.
  • An accompanying editorial urged coordinated, long-term data collection, as parallel efforts such as a lab-grown valve implant by GrOwnValve seek options that avoid immunosuppression.