Orthotopic heart transplantation with concurrent aortic valve replacement and coronary artery bypass grafting.
We report a case of successful orthotopic heart transplantation of a donor heart with normal ventricular function, 2-vessel coronary artery disease, and a bicuspid aortic valve, which required concurrent aortic valve replacement and coronary artery bypass grafting. In confronting the disparities in demand and supply, we must consider the so-called marginally acceptable heart for either critically ill recipients or those who may be disadvantaged on the waiting list.
Rao
J N
JN
Department of Cardiopulmonary Transplantation, Freeman Hospital, Newcastle upon Tyne, United Kingdom.
Prendergast
B
B
Dark
J H
JH
D000368:Aged; D001022:Aortic Valve Insufficiency; D001705:Bioprosthesis; D002311:Cardiomyopathy, Dilated / Q000601:surgery*; D000075202:Contraindications; D001026:Coronary Artery Bypass; D003327:Coronary Disease; D016027:Heart Transplantation; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D014019:Tissue Donors