title: Successful resection of oesophageal adenocarcinoma 16 years after heart transplantation-a case report.
abstract: BACKGROUND
  With improving results of heart transplantation and subsequently increasing survival, long-term complications such as neoplastic malignancies are more often being discovered.
  
  
  METHODS
  In this report, we present a unique case of successful oesophagus resection with gastric pull-up, on a heart-transplanted patient diagnosed with oesophageal adenocarcinoma.
  
  
  CONCLUSIONS
  With the growing number of long-term surviving heart transplanted patients, the number of neoplasia in this patient-group will subsequently grow. Since physical condition and quality of life in long-term surviving heart transplanted patients is comparable to the general population, and since surgical treatment remains the mainstay of treatment for localised oesophageal carcinoma in non-heart transplanted patients, a larger subgroup of heart transplanted patients will most likely be considered for cancer surgery.
  
  
  CONCLUSIONS
  Our case demonstrates the possibility of operating on the heart transplanted patient-group, and supports the option, that well-managed heart transplantation not should be a limiting factor, when deciding whether a patient is a candidate for surgical intervention or not.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Denmark. Electronic address: filip.eckerstrom@clin.au.dk.
authors.forename: Filip
authors.initials: F
authors.lastname: Eckerström
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Denmark.
authors.forename: Marie
authors.initials: M
authors.lastname: Maagaard
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Denmark.
authors.forename: Hans K
authors.initials: HK
authors.lastname: Pilegaard
keywords: Heart transplantation; Oesophagus cancer; Oesophagus resection; Surgical approach