To hit a home run as a heterotopic heart recipient—living with two hearts for over three decades: a case report
Abstract Heterotopic heart transplantation (HHT) is an alternative to the orthotopic technique in selected patients with terminal heart failure. We report the case of the longest survival after HHT, with an uneventful follow‐up for over three decades after transplantation. At the age of 25 years, en...
Main Authors: | , , , , , , , |
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Format: | Article |
Language: | English |
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Wiley
2023-02-01
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Series: | ESC Heart Failure |
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Online Access: | https://doi.org/10.1002/ehf2.14215 |
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author | Emyal Alyaydin Christian Pogoda Henryk Welp Angelo Dell'Aquila Sven Martens Ali Yilmaz Holger Reinecke Juergen R. Sindermann |
author_facet | Emyal Alyaydin Christian Pogoda Henryk Welp Angelo Dell'Aquila Sven Martens Ali Yilmaz Holger Reinecke Juergen R. Sindermann |
author_sort | Emyal Alyaydin |
collection | DOAJ |
description | Abstract Heterotopic heart transplantation (HHT) is an alternative to the orthotopic technique in selected patients with terminal heart failure. We report the case of the longest survival after HHT, with an uneventful follow‐up for over three decades after transplantation. At the age of 25 years, endomyocardial fibrosis following myocarditis rendered the patient's native heart unable to maintain the body's needs. An allograft provided a second chance at life. The HHT technique was favoured due to severe pulmonary hypertension. The patient had an uneventful follow‐up since then. The scarcity of donors and the revolutionary advances in the mechanical circulatory device field restricted the utilization of the HHT technique, but it has the potential to provide an excellent prognosis with a good quality of life. |
first_indexed | 2024-04-10T20:45:24Z |
format | Article |
id | doaj.art-fb4582e2f2cc4e5580eb01eb3a32fd75 |
institution | Directory Open Access Journal |
issn | 2055-5822 |
language | English |
last_indexed | 2024-04-10T20:45:24Z |
publishDate | 2023-02-01 |
publisher | Wiley |
record_format | Article |
series | ESC Heart Failure |
spelling | doaj.art-fb4582e2f2cc4e5580eb01eb3a32fd752023-01-24T09:02:17ZengWileyESC Heart Failure2055-58222023-02-0110172172610.1002/ehf2.14215To hit a home run as a heterotopic heart recipient—living with two hearts for over three decades: a case reportEmyal Alyaydin0Christian Pogoda1Henryk Welp2Angelo Dell'Aquila3Sven Martens4Ali Yilmaz5Holger Reinecke6Juergen R. Sindermann7Department of Cardiology I ‐ Coronary and Peripheral Vascular Disease, Heart Failure University Hospital Muenster Albert Schweitzer Campus 1, A1 48149 Muenster GermanyDepartment of Cardiology I ‐ Coronary and Peripheral Vascular Disease, Heart Failure University Hospital Muenster Albert Schweitzer Campus 1, A1 48149 Muenster GermanyInterdisciplinary Heart Failure Section University Hospital Muenster Albert Schweitzer Campus 1, A1 48149 Muenster GermanyDepartment of Cardiothoracic Surgery University Hospital Muenster Albert Schweitzer Campus 1, A1 48149 Muenster GermanyDepartment of Cardiothoracic Surgery University Hospital Muenster Albert Schweitzer Campus 1, A1 48149 Muenster GermanyDepartment of Cardiology, Division of Cardiovascular Imaging University Hospital Münster Münster GermanyDepartment of Cardiology I ‐ Coronary and Peripheral Vascular Disease, Heart Failure University Hospital Muenster Albert Schweitzer Campus 1, A1 48149 Muenster GermanyDepartment of Cardiology I ‐ Coronary and Peripheral Vascular Disease, Heart Failure University Hospital Muenster Albert Schweitzer Campus 1, A1 48149 Muenster GermanyAbstract Heterotopic heart transplantation (HHT) is an alternative to the orthotopic technique in selected patients with terminal heart failure. We report the case of the longest survival after HHT, with an uneventful follow‐up for over three decades after transplantation. At the age of 25 years, endomyocardial fibrosis following myocarditis rendered the patient's native heart unable to maintain the body's needs. An allograft provided a second chance at life. The HHT technique was favoured due to severe pulmonary hypertension. The patient had an uneventful follow‐up since then. The scarcity of donors and the revolutionary advances in the mechanical circulatory device field restricted the utilization of the HHT technique, but it has the potential to provide an excellent prognosis with a good quality of life.https://doi.org/10.1002/ehf2.14215Heterotopic heart transplantationSurvivalMechanical circulatory support |
spellingShingle | Emyal Alyaydin Christian Pogoda Henryk Welp Angelo Dell'Aquila Sven Martens Ali Yilmaz Holger Reinecke Juergen R. Sindermann To hit a home run as a heterotopic heart recipient—living with two hearts for over three decades: a case report ESC Heart Failure Heterotopic heart transplantation Survival Mechanical circulatory support |
title | To hit a home run as a heterotopic heart recipient—living with two hearts for over three decades: a case report |
title_full | To hit a home run as a heterotopic heart recipient—living with two hearts for over three decades: a case report |
title_fullStr | To hit a home run as a heterotopic heart recipient—living with two hearts for over three decades: a case report |
title_full_unstemmed | To hit a home run as a heterotopic heart recipient—living with two hearts for over three decades: a case report |
title_short | To hit a home run as a heterotopic heart recipient—living with two hearts for over three decades: a case report |
title_sort | to hit a home run as a heterotopic heart recipient living with two hearts for over three decades a case report |
topic | Heterotopic heart transplantation Survival Mechanical circulatory support |
url | https://doi.org/10.1002/ehf2.14215 |
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