Incidence, impact on survival, and risk factors for multi-organ system failure in children following liver transplantation.

Liver transplantation (LTx) in children currently offers long-term survival rates of more than 80%. Many causes for Tx failure have been identified. However, the incidence and impact of multi-organ system failure (MOSF) are, to date, unknown.

Severe head injury in children: impact of risk factors on outcome.

Background: Outcome after severe head injury has been shown in some studies to be more favorable in children than in adults. Mortality rates reported range between 20% and 40% for children. Only contradicting data are available regarding the impact of trauma modalities on long-term outcome, or the relative influence of head fractures, intracranial hemorrhages, and brain edema on survival or neurologic sequelae in children.

[Nitric oxide in therapy of pulmonary hypertension after correction of congenital single atrium].

We report on a 19-month-old boy with congenital single atrium. Cardiac catheterization preceding the surgical repair revealed an elevated pulmonary artery pressure of 60/15 mmHg (mean pressure 40 mmHg). Pulmonary flow was 8.

[Complex progressive palliation for univentricular circulation].

The type of palliative procedures (PP) for complex univentricular circulation (UC) changed significantly during the 80ies. Between 07/86 and 02/91 77 patients (pts) presented with UC to eventually undergo a modified Fontan-Kreutzer-type-operation (MFKTO). 33 pts had been previously palliated, 22 of whom were accepted for MFKTO as well as an additional 9 not palliated pts (group A: 31 pts; 20 PP).