Cardiac transplantation in Friedreich Ataxia: Extended follow-up.

Abstract:

:Friedreich Ataxia (FRDA) is an autosomal recessive neurodegenerative disorder most commonly caused by guanine-adenine-adenine (GAA) trinucleotide repeat expansions in both alleles of the FXN gene. Although progressive ataxia remains the hallmark clinical feature, patients with FRDA are at high risk of developing cardiomyopathy, often resulting in premature death. There is no specific treatment for FRDA-associated cardiomyopathy; even in advanced cardiac failure cardiac transplantation is not commonly pursued. This case series describes extended follow-up of three FRDA cases with end-stage heart failure but mild neurologic disease who underwent successful heart transplantation. We also review and examine the ethical considerations for heart transplantation in the setting of neurodegenerative disease.

journal_name

J Neurol Sci

authors

McCormick A,Shinnick J,Schadt K,Rodriguez R,Addonizio L,Hirano M,Perlman S,Lin KY,Lynch DR

doi

10.1016/j.jns.2017.01.027

subject

Has Abstract

pub_date

2017-04-15 00:00:00

pages

471-473

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(17)30028-X

journal_volume

375

pub_type

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