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Rare Surgery Gives UC San Diego Health System Patient a Valentine Gift
This Valentine’s Day, Tyson Smith woke up with a brand new outlook and two beating hearts – his old failing heart and a newly transplanted heart. “I can tell that I am getting stronger every day,” said Smith.
The team from the UC San Diego Center for Transplantation performed a rare, life-saving cardiac surgery called heterotopic heart transplantation, where Smith’s own heart remained in place while a second donor heart was implanted. He now has two beating hearts.
In this photograph of the "piggyback transplant," patient Smith's orginal heart is at the bottom; his newly transplanted donor heart is at the top.
“Mr. Smith is a pioneer among heart transplant patients,” said Jack Copeland, MD, professor of surgery and director of cardiac transplantation and mechanical circulatory support at UC San Diego Health System. “This is a very rare procedure, but one worth having in the tool kit of options in cardiac replacement. It’s a safe operation with an average survival of 10 years.”
“Even though Mr. Smith was facing death, he could not have a standard heart transplant. Removing the old heart and replacing it with a new heart would have caused the new heart to fail, because resistance to flow in his lungs – called pulmonary hypertension – was so high,” explained Michael Madani, MD, associate professor of surgery and co-director of UC San Diego Sulpizio Cardiovascular Center. “But together, the two hearts share the work and get the job done.”
Click on the image above to see the hearts beating together.
Smith is expected to be discharged to his home in two weeks and return to a normal level of activity within the next few months.
The UCSD Center for Transplantation is part of a comprehensive care plan that culminates with the opening of the UC San Diego Sulpizio Cardiovascular Center in April 2011. This new 128,000-square-foot facility will unify UCSD’s ambulatory, clinical, and inpatient heart and stroke care in one convenient location.
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