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

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3 Scopus citations

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
Publication statusPublished - Sep 1 2015

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ASJC Scopus subject areas

  • Surgery
  • Transplantation

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