Berk Aykut MD , Douglas M. Overbey MD, MPH , Cathlyn K. Medina BA , Tariq M. Omer MS , T. Konrad Rajab MD , Smith M. Ngeve BA , Ziv Beckerman MD , Joseph W. Turek MD, PhD
{"title":"Partial Heart Transplantation Promotes Organ Stewardship: Domino Hearts and Split Roots","authors":"Berk Aykut MD , Douglas M. Overbey MD, MPH , Cathlyn K. Medina BA , Tariq M. Omer MS , T. Konrad Rajab MD , Smith M. Ngeve BA , Ziv Beckerman MD , Joseph W. Turek MD, PhD","doi":"10.1016/j.atssr.2024.07.033","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Partial heart transplantation (PHT) has emerged as a pioneering approach for treating infants with irreparable heart valve dysfunction. However, the scarcity of suitable donors presents a significant bottleneck to its widespread application. This study introduces and evaluates the novel use of domino and split-root procedures within PHT.</div></div><div><h3>Methods</h3><div>We describe 6 pediatric cardiac patients who underwent either domino or split-root PHT at our institution.</div></div><div><h3>Results</h3><div>From May to August 2023, our team successfully executed 3 domino and 3 split-root PHTs, including 1 procedure that involved interinstitutional collaboration. These cases highlight the procedural feasibility and the potential for broader application.</div></div><div><h3>Conclusions</h3><div>The implementation of PHT represents a significant advance in pediatric heart care. Domino and split-root techniques within the PHT framework have the potential to substantially increase both donor availability and recipient capacity. These strategies usher in a new era of organ stewardship through addressing the challenge of donor organ shortage.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 1","pages":"Pages 86-91"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of thoracic surgery short reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772993124003590","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/30 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Background
Partial heart transplantation (PHT) has emerged as a pioneering approach for treating infants with irreparable heart valve dysfunction. However, the scarcity of suitable donors presents a significant bottleneck to its widespread application. This study introduces and evaluates the novel use of domino and split-root procedures within PHT.
Methods
We describe 6 pediatric cardiac patients who underwent either domino or split-root PHT at our institution.
Results
From May to August 2023, our team successfully executed 3 domino and 3 split-root PHTs, including 1 procedure that involved interinstitutional collaboration. These cases highlight the procedural feasibility and the potential for broader application.
Conclusions
The implementation of PHT represents a significant advance in pediatric heart care. Domino and split-root techniques within the PHT framework have the potential to substantially increase both donor availability and recipient capacity. These strategies usher in a new era of organ stewardship through addressing the challenge of donor organ shortage.
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