Successful Recycling of a Previously Transplanted Heart: Another Option for Limited Resources

Mullen, John C.; Kuurstra, Emily; Burhani, Mohamad S.; Ganta, Srujan; Lalonde, Lucille D.

doi:10.1016/j.cjca.2014.07.003

Cited by 8 publications

(4 citation statements)

References 4 publications

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“…2 A literature review on PubMed and Embase revealed 7 published cases worldwide, spanning from 5 to 27 years old. [3][4][5][6][7][8][9] The existing literature we reviewed focused on surgical and postoperative care, without an Organ Procurement Organization (OPO) perspective. According to requested OPTN data, from 2005 to 2019, only 4 cases of heart retransplantation have been reported in the United States (including the 2 most recent transplants facilitated by our team).…”

Section: Clinical Relevancy To Practicementioning

confidence: 99%

An Adapted Process and Organ Procurement Perspective on Heart Retransplantation for a Healthy Heart’s Third Life

et al. 2021

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As organ procurement organizations nationwide see an increased opportunity to retransplant already transplanted hearts, we would like to share the overview and process of our 2 successful cases. Heart retransplantation increased our cardiac placement rates by 2.64% and 2% in 2015 and 2019, respectively. Spread across a nation that sees over 3500 heart placements annually, a 2% increase would be substantial. Since 2009, our cases stand as the only documented heart retransplantations in the United States. However, United Network for Organ Sharing data shows that potential exists. From a facilitation perspective, we have developed a protocol to ease the matching process. From a surgical perspective, these cases had no complications and saved 2 lives, with each heart now beating in a third person. We hope that by sharing our process and success, we can familiarize fellow organ procurement organizations and transplant communities with this viable opportunity.

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Section: Clinical Relevancy To Practicementioning

confidence: 99%

An Adapted Process and Organ Procurement Perspective on Heart Retransplantation for a Healthy Heart’s Third Life

et al. 2021

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“…If the allograft is functioning well, it is possible to consider retransplantation of the heart. To date, there are <10 published case reports of cardiac allograft retransplantation to a second recipient ( 1 , 2 , 3 , 4 , 5 , 6 , 7 ). Although previous reports highlighted the feasibility of heart retransplantation, we present a novel case of retransplantation within 10 days of the initial HT into a highly allosensitized recipient.…”

Section: Introductionmentioning

confidence: 99%

A Case for Re-Gifting

et al. 2021

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Many patients die while waiting for a heart transplant. Therefore, it is vital that all suitable organs are used for transplantation. We present a case of an allograft that was transplanted twice and outline considerations regarding tissue typing, the impact of repeated ischemic time, and ethical considerations with allograft retransplantation. ( Level of Difficulty: Intermediate. )

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“…Solid organ transplantation is life‐saving for many patients with end‐stage organ disease but a significant disparity exists in the supply of organs for transplant and the number of patients registered on waiting lists . This imbalance has led to increasing efforts to use organs from non‐traditional sources, including considering previous organ recipients as donors . From 2000 to 2012 in the United States, 762 organs were recovered from 718 donors who had been previous organ recipients .…”

Section: Introductionmentioning

confidence: 99%

“…1 This imbalance has led to increasing efforts to use organs from non-traditional sources, including considering previous organ recipients as donors. [2][3][4] From 2000 to 2012 in the United States, 762 organs were recovered from 718 donors who had been previous organ recipients. 5 Reports on the outcomes of this practice are limited, although rare donor-derived disease transmissions have been reported to organ procurement agencies (M.G.…”

Section: Introductionmentioning

confidence: 99%

Herpes simplex virus‐2 transmission following solid organ transplantation: Donor‐derived infection and transplantation from prior organ recipients

Macesic

Abbott

Kaye

et al. 2017

Transplant Infectious Dis

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Donor-derived HSV infection affected two clusters of recipients because of transplantation of organs from a prior organ recipient. HSV should be considered as a possible cause of illness in febrile SOT recipients in the immediate post-transplant period and may cause disseminated disease and re-infection in HSV-2-seropositive recipients. Testing of HSV serology and prophylaxis may be considered in SOT recipients not receiving cytomegalovirus prophylaxis.

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Successful Recycling of a Previously Transplanted Heart: Another Option for Limited Resources

Cited by 8 publications

References 4 publications

An Adapted Process and Organ Procurement Perspective on Heart Retransplantation for a Healthy Heart’s Third Life

An Adapted Process and Organ Procurement Perspective on Heart Retransplantation for a Healthy Heart’s Third Life

A Case for Re-Gifting

Herpes simplex virus‐2 transmission following solid organ transplantation: Donor‐derived infection and transplantation from prior organ recipients

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