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Peer-reviewedCC BYJournal of surgical case reports

Orthotopic heart transplantation associated with hemiarch reconstruction for advanced heart failure and chronic aortic dissection: a case report.

  • Oscar Edinson Sánchez1
  • Valentina Pérez-Ariza2,3
  • Roberto H Cruz Buitrago1,3
  • Juan F Parra1
  • William Rios1
  • Federico Nuñez1
  1. 1Cardiovascular Surgery Section, Fundación Clínica Shaio, 111131, Bogotá, Colombia.
  2. 2School of Medicine, Universidad de los Andes, 111711, Bogotá, Colombia.
  3. 3School of Medicine, Department of Surgery, 110231, Pontificia Universidad Javeriana, Bogotá, Colombia.
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Abstract

Concomitant orthotopic heart transplantation and aortic arch replacement are extremely rare, particularly in chronic Stanford type A dissection. A 43-year-old man with end-stage heart failure and chronic aortic dissection underwent combined orthotopic heart transplantation and hemiarch replacement. Because of concomitant liver donation, the donor inferior vena cava required pericardial patch reconstruction. Despite early right ventricular dysfunction requiring veno-arterial ECMO, the patient recovered completely and was discharged with preserved graft function. This case demonstrates the feasibility of a single-stage combined approach with excellent postoperative outcomes in carefully selected patients.

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Cite

BibTeXRIS
BibTeX
@article{sanchez2026orthotopic,
  title = {{Orthotopic heart transplantation associated with hemiarch reconstruction for advanced heart failure and chronic aortic dissection: a case report.}},
  author = {Oscar Edinson Sánchez and Valentina Pérez-Ariza and Roberto H Cruz Buitrago and Juan F Parra and William Rios and Federico Nuñez},
  journal = {Journal of surgical case reports},
  year = {2026},
  month = oct,
  doi = {10.1093/jscr/rjag775},
  url = {https://europepmc.org/article/MED/42948340},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Orthotopic heart transplantation associated with hemiarch reconstruction for advanced heart failure and chronic aortic dissection: a case report.
AU  - Oscar Edinson Sánchez
AU  - Valentina Pérez-Ariza
AU  - Roberto H Cruz Buitrago
AU  - Juan F Parra
AU  - William Rios
AU  - Federico Nuñez
PY  - 2026
DA  - 2026/10/27
JO  - Journal of surgical case reports
DO  - 10.1093/jscr/rjag775
UR  - https://europepmc.org/article/MED/42948340
AB  - Concomitant orthotopic heart transplantation and aortic arch replacement are extremely rare, particularly in chronic Stanford type A dissection. A 43-year-old man with end-stage heart failure and chronic aortic dissection underwent combined orthotopic heart transplantation and hemiarch replacement. Because of concomitant liver donation, the donor inferior vena cava required pericardial patch reconstruction. Despite early right ventricular dysfunction requiring veno-arterial ECMO, the patient recovered completely and was discharged with preserved graft function. This case demonstrates the feasibility of a single-stage combined approach with excellent postoperative outcomes in carefully selected patients.
SN  - 2042-8812
ER  -