title: [Clinical history and anatomic findings following the longest survival after cardiac transplantation].
abstract: The authors report the case history of the first patient in the world to have survived 18 and a half years with a heart transplant. This survival was marked by several episodes of rejection during the early years and various other incidents. The pathology encountered was primarily iatrogenic: diffuse osteoporosis sometimes limited the patient's activity. Two skin cancers and a lung cancer were diagnosed and treated. The patient died from progressive respiratory failure with pulmonary hypertension and signs of right ventricular failure. Pathological examination revealed a subnormal myocardium with a certain amount of overloading of the coronary arteries, confirmed the lung cancer and pulmonary hypertension and, most importantly, revealed the presence of nodular regenerative hepatic cirrhosis responsible for ascites during the last few months of life and a renal adenocarcinoma. These last two lesions are observed in immunosuppressed patients. The authors pay tribute to this patient who led an active and devoted life in the service of others.
authors.forename: J R
authors.initials: JR
authors.lastname: Monties
authors.forename: A
authors.initials: A
authors.lastname: Goudard
authors.forename: D
authors.initials: D
authors.lastname: Blin
authors.forename: C
authors.initials: C
authors.lastname: Avierinos
authors.forename: A
authors.initials: A
authors.lastname: Mouly
authors.forename: P
authors.initials: P
authors.lastname: Havlik
authors.forename: J P
authors.initials: JP
authors.lastname: Auffray
authors.forename: T
authors.initials: T
authors.lastname: Mesana
authors.forename: E
authors.initials: E
authors.lastname: Henry
authors.forename: R
authors.initials: R
authors.lastname: Choux
mesh_terms: D002283:Carcinoma, Bronchogenic / Q000473:pathology; D006348:Cardiac Surgical Procedures / Q000266:history; D003331:Coronary Vessels / Q000473:pathology; D005500:Follow-Up Studies; D005602:France; D016027:Heart Transplantation; D049673:History, 20th Century; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology; D012878:Skin Neoplasms / Q000473:pathology
vernacular_title: Histoire clinique et constatations anatomiques au terme de la plus longue survie après transplantation cardiaque.