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...

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Main Authors: Emyal Alyaydin, Christian Pogoda, Henryk Welp, Angelo Dell'Aquila, Sven Martens, Ali Yilmaz, Holger Reinecke, Juergen R. Sindermann
Format: Article
Language:English
Published: Wiley 2023-02-01
Series:ESC Heart Failure
Subjects:
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.
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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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