A Case of Heterotopic Heart Transplant as a “Biologic Left Ventricular Assist” in Restrictive Cardiomyopathy

Hannah Copeland, Nishant Kalra, Monica Gustafson, Romana Coehlo-Anderson, Mark J Friedman, Jack G. Copeland

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Heterotopic heart transplant (HHT) has traditionally been thought of as creating 2 parallel circulations. We present a case of using the donor heart as a “biologic left ventricular assist” (bio-LVA). The heterotopic technique used consisted of 4 anastomoses: the donor heart pulmonary artery (PA) to the native heart right atrium, the superior vena cava to superior vena cava, the left atrium to left atrium, and the aorta to aorta. A 9-year-old boy with restrictive cardiomyopathy, a PA pressure of 85/53 mmHg, received a HHT because he would probably not be able to tolerate an orthotopic heart transplant secondary to elevated PA pressure. He is currently alive 14 years post-transplantation.

Original languageEnglish (US)
Pages (from-to)637-640
Number of pages4
JournalWorld Journal for Pediatric and Congenital Heart Surgery
Volume2
Issue number4
DOIs
StatePublished - 2011

Keywords

  • cardiomyopathy
  • heart
  • heart failure
  • pediatric
  • pulmonary vascular resistance/hypertension
  • transplantation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Medicine(all)
  • Cardiology and Cardiovascular Medicine

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