Orthotopic retransplantation in heterotopic transplant recipients: 3 case reports

Ronald D Smith Jr; Branislav Radovancevic; Igor D Gregoric; William E Cohn; O H Frazier

doi:10.1016/j.healun.2005.08.011

Orthotopic retransplantation in heterotopic transplant recipients: 3 case reports

J Heart Lung Transplant. 2006 Feb;25(2):245-7. doi: 10.1016/j.healun.2005.08.011. Epub 2005 Dec 9.

Authors

Ronald D Smith Jr¹, Branislav Radovancevic, Igor D Gregoric, William E Cohn, O H Frazier

Affiliation

¹ Department of Cardiovascular Surgery, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77225-0345, USA.

PMID: 16446229
DOI: 10.1016/j.healun.2005.08.011

Abstract

We report 3 patients who initially underwent heterotopic transplantation due to a size mismatch but then later underwent orthotopic retransplantation because of heart failure. In each case, the heterotopic graft was left in place, the native heart was removed, and the new allograft was placed orthotopically. This technique resulted in reduced postoperative morbidity and excellent long-term outcomes.

Publication types

Case Reports

MeSH terms

Adult
Cardiac Surgical Procedures / methods
Heart Transplantation / methods*
Heart Transplantation / pathology
Heart Transplantation / physiology*
Hemodynamics / physiology
Humans
Male
Middle Aged
Prognosis
Reoperation
Transplantation, Heterotopic / methods*
Transplantation, Heterotopic / pathology
Transplantation, Heterotopic / physiology*
Transplantation, Homologous / methods
Transplantation, Homologous / pathology
Transplantation, Homologous / physiology