CT-guided biopsy in heterotopic heart transplant: A case report
Background: Heterotopic heart transplantation is a surgical technique that has not been embraced broadly. In this historic technique, the donor heart is sutured in parallel to the recipient heart with both hearts in place. Case summary: We report a patient who received a heterotopic heart transplant...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-05-01
|
| Series: | JHLT Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2950133425000540 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850144407053926400 |
|---|---|
| author | Isaac Tea, MD Stephanie Fuentes Rojas, MD Varshni Nandakumar, BS Su-Min Chang, MD Ponraj Chinnadurai, MBBS, MMST James Young, MD Alan Lumsden, MD Arvind Bhimaraj, MD, MPH |
| author_facet | Isaac Tea, MD Stephanie Fuentes Rojas, MD Varshni Nandakumar, BS Su-Min Chang, MD Ponraj Chinnadurai, MBBS, MMST James Young, MD Alan Lumsden, MD Arvind Bhimaraj, MD, MPH |
| author_sort | Isaac Tea, MD |
| collection | DOAJ |
| description | Background: Heterotopic heart transplantation is a surgical technique that has not been embraced broadly. In this historic technique, the donor heart is sutured in parallel to the recipient heart with both hearts in place. Case summary: We report a patient who received a heterotopic heart transplant at our institution more than 15 years ago with preserved cardiac function and who needed a myocardial biopsy due to heart failure symptoms. Due to complex anatomy, a cardiac computed tomography imaging reconstruction was used to create a live roadmap overlay on fluoroscopy during myocardial biopsy. Such a technique facilitated obtaining a biopsy successfully and safely to rule out rejection. Discussion: Heterotopic heart transplantation is a surgical procedure that has a potential physiologic and immunologic advantage in select patients needing a heart transplant. Utilizing imaging guidance for navigating complex anatomy to perform a myocardial biopsy can have potential applications in providing safe and increasing yield in patchy diseases of the heart. |
| format | Article |
| id | doaj-art-1fc7ecbf5cea4728a2d53618e4d6bba8 |
| institution | OA Journals |
| issn | 2950-1334 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JHLT Open |
| spelling | doaj-art-1fc7ecbf5cea4728a2d53618e4d6bba82025-08-20T02:28:22ZengElsevierJHLT Open2950-13342025-05-01810025910.1016/j.jhlto.2025.100259CT-guided biopsy in heterotopic heart transplant: A case reportIsaac Tea, MD0Stephanie Fuentes Rojas, MD1Varshni Nandakumar, BS2Su-Min Chang, MD3Ponraj Chinnadurai, MBBS, MMST4James Young, MD5Alan Lumsden, MD6Arvind Bhimaraj, MD, MPH7Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston, TexasDepartment of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston, TexasSchool of Engineering Medicine, Texas A&M University, Houston, TexasDepartment of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston, TexasDepartment of Vascular Surgery, Houston Methodist DeBakey Heart and Vascular Center, Houston, TexasDepartment of Cardiology, Cleveland Clinic Foundation, Cleveland, OhioDepartment of Vascular Surgery, Houston Methodist DeBakey Heart and Vascular Center, Houston, TexasDepartment of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston, Texas; Corresponding author: Arvind Bhimaraj, MD, MPH, 6550 Fannin St Suite 1801 Smith Tower, Houston, TX 77030. Telephone: 713-441-110. Fax: 713-793-7032.Background: Heterotopic heart transplantation is a surgical technique that has not been embraced broadly. In this historic technique, the donor heart is sutured in parallel to the recipient heart with both hearts in place. Case summary: We report a patient who received a heterotopic heart transplant at our institution more than 15 years ago with preserved cardiac function and who needed a myocardial biopsy due to heart failure symptoms. Due to complex anatomy, a cardiac computed tomography imaging reconstruction was used to create a live roadmap overlay on fluoroscopy during myocardial biopsy. Such a technique facilitated obtaining a biopsy successfully and safely to rule out rejection. Discussion: Heterotopic heart transplantation is a surgical procedure that has a potential physiologic and immunologic advantage in select patients needing a heart transplant. Utilizing imaging guidance for navigating complex anatomy to perform a myocardial biopsy can have potential applications in providing safe and increasing yield in patchy diseases of the heart.http://www.sciencedirect.com/science/article/pii/S2950133425000540imaging guidanceendomyocardial biopsyheterotopic heart transplantCT fusion3D anatomy |
| spellingShingle | Isaac Tea, MD Stephanie Fuentes Rojas, MD Varshni Nandakumar, BS Su-Min Chang, MD Ponraj Chinnadurai, MBBS, MMST James Young, MD Alan Lumsden, MD Arvind Bhimaraj, MD, MPH CT-guided biopsy in heterotopic heart transplant: A case report JHLT Open imaging guidance endomyocardial biopsy heterotopic heart transplant CT fusion 3D anatomy |
| title | CT-guided biopsy in heterotopic heart transplant: A case report |
| title_full | CT-guided biopsy in heterotopic heart transplant: A case report |
| title_fullStr | CT-guided biopsy in heterotopic heart transplant: A case report |
| title_full_unstemmed | CT-guided biopsy in heterotopic heart transplant: A case report |
| title_short | CT-guided biopsy in heterotopic heart transplant: A case report |
| title_sort | ct guided biopsy in heterotopic heart transplant a case report |
| topic | imaging guidance endomyocardial biopsy heterotopic heart transplant CT fusion 3D anatomy |
| url | http://www.sciencedirect.com/science/article/pii/S2950133425000540 |
| work_keys_str_mv | AT isaacteamd ctguidedbiopsyinheterotopichearttransplantacasereport AT stephaniefuentesrojasmd ctguidedbiopsyinheterotopichearttransplantacasereport AT varshninandakumarbs ctguidedbiopsyinheterotopichearttransplantacasereport AT suminchangmd ctguidedbiopsyinheterotopichearttransplantacasereport AT ponrajchinnaduraimbbsmmst ctguidedbiopsyinheterotopichearttransplantacasereport AT jamesyoungmd ctguidedbiopsyinheterotopichearttransplantacasereport AT alanlumsdenmd ctguidedbiopsyinheterotopichearttransplantacasereport AT arvindbhimarajmdmph ctguidedbiopsyinheterotopichearttransplantacasereport |