{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:05:26Z","timestamp":1787022326448,"version":"build-2736575974"},"reference-count":10,"publisher":"Texas Heart Institute Journal","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>At a time when transplantable organs are in a shortage, few cases have noted the reuse of donor hearts in a second recipient in an effort to expand the donor network. Here, we present a case in which an O Rh-positive donor heart was first transplanted into a B Rh-positive recipient and later successfully retransplanted into a second O Rh-positive recipient 10 days after the initial transplant at the same medical center. On postoperative day 1, the first recipient, a 21-year-old man with nonischemic cardiomyopathy, sustained a devastating cerebrovascular accident with progression to brain death. With preserved left ventricle and mildly depressed right ventricle function, the heart was allocated to the second recipient, a 63-year-old male patient with familial restrictive cardiomyopathy. The bicaval technique was used, and the total ischemic time was 100 minutes. His postoperative course was uncomplicated with no evidence of rejection on 3 endomyocardial biopsies. Follow-up transthoracic echocardiogram revealed a left ventricular ejection fraction of 60% to 70%. Seven months posttransplant, the second recipient was doing well with appropriate left and right ventricular function. With careful organ selection, short ischemic time, and proper postoperative care, retransplant of donor hearts may be an option for select patients in need of heart transplant.<\/jats:p>","DOI":"10.14503\/thij-21-7726","type":"journal-article","created":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T03:35:02Z","timestamp":1683516902000},"source":"Crossref","is-referenced-by-count":1,"title":["Successful Reuse of a Donor Heart"],"prefix":"10.14503","volume":"50","author":[{"given":"Gabriel","family":"Esmailian","sequence":"first","affiliation":[{"name":"The George Washington University School of Medicine and Health Sciences, Washington, DC"},{"name":"Cedars-Sinai Smidt Heart Institute, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiudong","family":"Chen","sequence":"additional","affiliation":[{"name":"Cedars-Sinai Smidt Heart Institute, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danny","family":"Ramzy","sequence":"additional","affiliation":[{"name":"Cedars-Sinai Smidt Heart Institute, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon A.","family":"Kobashigawa","sequence":"additional","affiliation":[{"name":"Cedars-Sinai Smidt Heart Institute, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Chikwe","sequence":"additional","affiliation":[{"name":"Cedars-Sinai Smidt Heart Institute, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fardad","family":"Esmailian","sequence":"additional","affiliation":[{"name":"Cedars-Sinai Smidt Heart Institute, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5628","reference":[{"issue":"10","key":"i1526-6702-50-3-e217726-b1","series-title":"J Heart Lung Transplant.","doi-asserted-by":"publisher","first-page":"1037","DOI":"10.1016\/j.healun.2017.07.019","article-title":"The Registry of the International Society for Heart and Lung Transplantation: thirty-fourth adult heart transplantation report\u20142017; focus theme: allograft ischemic time","volume":"36","year":"2017","unstructured":"Lund\n              LH,\n            \n            \n              Khush\n              KK,\n            \n            \n              Cherikh\n              WS,\n            \n          \n          .\n\t\t\t\t\tThe Registry of the International Society for Heart and Lung Transplantation: thirty-fourth adult heart transplantation report\u20142017; focus theme: allograft ischemic time.\n\t\t\t\t\tJ Heart Lung Transplant.2017;36(10):1037\u20131046.\n\t\t\t\t\tdoi:10.1016\/j.healun.2017.07.019"},{"issue":"2","key":"i1526-6702-50-3-e217726-b2","series-title":"Int J Transplant Res Med.","doi-asserted-by":"publisher","DOI":"10.23937\/2572-4045.1510022","article-title":"Complications after heart transplantation: hope for the best, but prepare for the worst","volume":"2","year":"2016","unstructured":"Alba\n              AC,\n            \n            \n              Bain\n              E,\n            \n            \n              Ng\n              N,\n            \n          \n          .\n\t\t\t\t\tComplications after heart transplantation: hope for the best, but prepare for the worst.\n\t\t\t\t\tInt J Transplant Res Med.2016;2(2).\n\t\t\t\t\tdoi:10.23937\/2572-4045.1510022"},{"issue":"5","key":"i1526-6702-50-3-e217726-b3","series-title":"Heart Fail Rev.","doi-asserted-by":"publisher","first-page":"805","DOI":"10.1007\/s10741-019-09794-1","article-title":"Primary graft dysfunction after heart transplantation: a thorn amongst the roses","volume":"24","year":"2019","unstructured":"Singh\n              SSA,\n            \n            \n              Dalzell\n              JR,\n            \n            \n              Berry\n              C,\n            \n            \n              Al-Attar\n              N.\n            \n          \n          Primary graft dysfunction after heart transplantation: a thorn amongst the roses.\n\t\t\t\t\tHeart Fail Rev.2019;24(5):805\u2013820.\n\t\t\t\t\tdoi:10.1007\/s10741-019-09794-1"},{"issue":"4","key":"i1526-6702-50-3-e217726-b4","series-title":"Ann Thorac Surg.","doi-asserted-by":"publisher","first-page":"1337","DOI":"10.1016\/j.athoracsur.2010.03.025","article-title":"Successful re-use of the transplanted heart","volume":"90","year":"2010","unstructured":"Nemec\n              P,\n            \n            \n              Bedanova\n              H,\n            \n            \n              Ostrizek\n              T.\n            \n          \n          Successful re-use of the transplanted heart.\n\t\t\t\t\tAnn Thorac Surg.2010;90(4):1337\u20131338.\n\t\t\t\t\tdoi:10.1016\/j.athoracsur.2010.03.025"},{"issue":"4","key":"i1526-6702-50-3-e217726-b5","series-title":"Eur J Cardiothorac Surg.","doi-asserted-by":"publisher","first-page":"918","DOI":"10.1016\/j.ejcts.2008.06.026","article-title":"Heart allograft transplanted twice","volume":"34","year":"2008","unstructured":"Simsir\n              SA,\n            \n            \n              Fontana\n              GP,\n            \n            \n              Czer\n              LS,\n            \n            \n              Schwarz\n              ER.\n            \n          \n          Heart allograft transplanted twice.\n\t\t\t\t\tEur J Cardiothorac Surg.2008;34(4):918\u2013919.\n\t\t\t\t\tdoi:10.1016\/j.ejcts.2008.06.026"},{"issue":"6","key":"i1526-6702-50-3-e217726-b6","series-title":"Ann Thorac Surg.","doi-asserted-by":"publisher","first-page":"e143","DOI":"10.1016\/j.athoracsur.2012.05.089","article-title":"One heart in 3 patients","volume":"94","year":"2012","unstructured":"Planinc\n              M,\n            \n            \n              Mihaljevic\n              T,\n            \n            \n              Jarrett\n              CM,\n            \n            \n              Smedira\n              NG,\n            \n            \n              Starling\n              RC.\n            \n          \n          One heart in 3 patients.\n\t\t\t\t\tAnn Thorac Surg.2012;94(6):e143\u2013e144.\n\t\t\t\t\tdoi:10.1016\/j.athoracsur.2012.05.089"},{"issue":"11","key":"i1526-6702-50-3-e217726-b7","series-title":"Can J Cardiol.","doi-asserted-by":"publisher","first-page":"1460.e1","DOI":"10.1016\/j.cjca.2014.07.003","article-title":"Successful recycling of a previously transplanted heart: another option for limited resources","volume":"30","year":"2014","unstructured":"Mullen\n              JC,\n            \n            \n              Kuurstra\n              EJ,\n            \n            \n              Burhani\n              MS,\n            \n            \n              Ganta\n              S,\n            \n            \n              Lalonde\n              L.\n            \n          \n          Successful recycling of a previously transplanted heart: another option for limited resources.\n\t\t\t\t\tCan J Cardiol.2014;30(11):1460.e1\u20131460.e2.\n\t\t\t\t\tdoi:10.1016\/j.cjca.2014.07.003"},{"issue":"12","key":"i1526-6702-50-3-e217726-b8","series-title":"Rev Esp Cardiol (Engl Ed).","doi-asserted-by":"publisher","first-page":"1220","DOI":"10.1016\/j.rec.2016.05.027","article-title":"One heart for two recipients: an effective option to increase donor organ availability in heart transplantation","volume":"69","year":"2016","unstructured":"Rodr\u00edguez-Gonz\u00e1lez\n              E,\n            \n            \n              Hern\u00e1ndez-P\u00e9rez\n              FJ,\n            \n            \n              G\u00f3mez-Bueno\n              M,\n            \n            \n              Segovia\n              J,\n            \n            \n              Forteza\n              A,\n            \n            \n              Alonso-Pulp\u00f3n\n              L.\n            \n          \n          One heart for two recipients: an effective option to increase donor organ availability in heart transplantation.\n\t\t\t\t\tRev Esp Cardiol (Engl Ed).2016;69(12):1220\u20131221.\n\t\t\t\t\tdoi:10.1016\/j.rec.2016.05.027"},{"issue":"5","key":"i1526-6702-50-3-e217726-b9","series-title":"N Engl J Med.","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1056\/NEJM199302043280505","article-title":"Brief report: reuse of a transplanted heart","volume":"328","year":"1993","unstructured":"Pasic\n              M,\n            \n            \n              Gallino\n              A,\n            \n            \n              Carrel\n              T,\n            \n          \n          .\n\t\t\t\t\tBrief report: reuse of a transplanted heart.\n\t\t\t\t\tN Engl J Med.1993;328(5):319\u2013320.\n\t\t\t\t\tdoi:10.1056\/NEJM199302043280505"},{"key":"i1526-6702-50-3-e217726-b10","series-title":"Blood Groups and Red Cell Antigens.","article-title":"The ABO blood group","year":"2005","unstructured":"Dean\n              L.\n            \n          \n          The ABO blood group.\n\t\t\t\t\tIn:Blood Groups and Red Cell Antigens.National Center for Biotechnology Information;\n\t\t\t\t\t2005."}],"container-title":["Texas Heart Institute 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