



* Department of Pediatrics
Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California
Central Institute for the Deaf, Washington University, St Louis, Missouri
--> Objective. To evaluate the growth and neurodevelopmental outcome of 18 surviving Stanford patients who received heart transplantations before their second birthday.
Methods. We compared the growth and neurodevelopmental outcome of these 18 patients with a second group of age-matched comparison patients who underwent other heart surgery requiring cardiopulmonary bypass.
Results. Difficulties with growth and development were more common in the transplant group as were neurologic abnormalities. Speech and language delays as well as hearing problems were also more common in the transplant group.
Conclusion. Multicenter prospective longitudinal neurodevelopmental outcome studies of infant heart transplant patients should be conducted to provide a more efficient basis for evaluating management protocols and assessment of long-term outcomes and of the need for early intervention services.
Key Words: infant heart transplantation neurodevelopmental outcome
Abbreviations: BSID, Bayley Scales of Infant Development MDI, Mental Developmental Index PDI, Psychomotor Developmental Index SD, standard deviation SB, Stanford Binet SICD, Sequenced Inventory of Communication Development PPVT, Peabody Picture Vocabulary Test CELF, Clinical Evaluation of Language Fundamentals TOLD, Test of Language Development
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