Total Artificial Heart Bridge to Transplantation for a Patient with Occult Intracardiac Malignancy

Case Report

H. Reich, L. Czer, S. Bannykh, M. De Robertis, E. Wolin, F. Amersi, J. Moriguchi, J. Kobashigawa, F. Arabia

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Malignancy is the leading cause of long-term morbidity and mortality after heart and other solid organ transplantation; therefore, great emphasis is placed on pre- and post-transplantation cancer screening. Even with meticulous screening during evaluation for heart transplant candidacy, an occult cancer may not be apparent. Here, we share the case of a 51-year-old man with refractory heart failure who underwent total artificial heart implantation as a bridge to transplantation with the surprise finding of an isolated deposit of metastatic carcinoid tumor nested within a left ventricular papillary muscle in his explanted heart. The primary ileal carcinoid tumor was identified and resected completely. After remaining cancer-free for 14 months, he was listed for heart transplantation and was transplanted 2 months later. He is currently 3.5 months out from heart transplantation and doing well, without evidence of recurring malignancy.

Original languageEnglish (US)
Pages (from-to)2291-2294
Number of pages4
JournalTransplantation Proceedings
Volume47
Issue number7
DOIs
StatePublished - Sep 1 2015
Externally publishedYes

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Artificial Heart
Transplantation
Carcinoid Tumor
Heart Transplantation
Neoplasms
Papillary Muscles
Organ Transplantation
Early Detection of Cancer
Heart Failure
Morbidity
Transplants
Mortality

ASJC Scopus subject areas

  • Surgery
  • Transplantation

Cite this

Total Artificial Heart Bridge to Transplantation for a Patient with Occult Intracardiac Malignancy : Case Report. / Reich, H.; Czer, L.; Bannykh, S.; De Robertis, M.; Wolin, E.; Amersi, F.; Moriguchi, J.; Kobashigawa, J.; Arabia, F.

In: Transplantation Proceedings, Vol. 47, No. 7, 01.09.2015, p. 2291-2294.

Research output: Contribution to journalArticle

Reich, H, Czer, L, Bannykh, S, De Robertis, M, Wolin, E, Amersi, F, Moriguchi, J, Kobashigawa, J & Arabia, F 2015, 'Total Artificial Heart Bridge to Transplantation for a Patient with Occult Intracardiac Malignancy: Case Report', Transplantation Proceedings, vol. 47, no. 7, pp. 2291-2294. https://doi.org/10.1016/j.transproceed.2015.04.083
Reich, H. ; Czer, L. ; Bannykh, S. ; De Robertis, M. ; Wolin, E. ; Amersi, F. ; Moriguchi, J. ; Kobashigawa, J. ; Arabia, F. / Total Artificial Heart Bridge to Transplantation for a Patient with Occult Intracardiac Malignancy : Case Report. In: Transplantation Proceedings. 2015 ; Vol. 47, No. 7. pp. 2291-2294.
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