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Updated: Jun 3, 2026

A Pre-Clinical Porcine Model of Orthotopic Heart Transplantation
Published on: April 27, 2019
[Outcome post orthotopic heart transplantation for patients with end-stage hypertrophic cardiomyopathy]
Xue-shan Huang1, Liang-wan Chen, Yu-chen Pan
1Department of Cardiac Surgery, Fujian Medical University, Fuzhou 350001, China. drhxs@163.com
Insights
Orthotopic heart transplantation offers a successful treatment for end-stage hypertrophic cardiomyopathy. Most patients experience good quality of life post-transplant, highlighting its therapeutic value.
Area of Science:
- Cardiology
- Transplantation Medicine
- Immunology
Context:
- Hypertrophic cardiomyopathy (HCM) is a significant cause of heart failure.
- End-stage HCM often necessitates advanced treatment options.
- Orthotopic heart transplantation (OHT) is a potential solution for end-stage heart disease.
Purpose:
- To evaluate the outcomes of OHT in patients with end-stage HCM.
- To assess the efficacy and safety of OHT in this specific patient population.
Summary:
- This retrospective study reviewed nine patients with end-stage HCM who underwent OHT.
- Eight patients survived with good quality of life, experiencing no significant rejection or infection.
- One patient experienced complications including renal failure and died at 32 months; another developed demyelinating disease but recovered.
Impact:
- OHT is a viable and effective therapeutic option for carefully selected patients with end-stage HCM.
- The study demonstrates favorable long-term outcomes for most OHT recipients with HCM.
- Findings support OHT as a life-saving intervention, improving quality of life in advanced HCM.
Objective:
To investigate the outcome of orthotopic heart transplantation for patient with end-stage hypertrophic cardiomyopathy.
Methods:
This retrospective review analyzed the clinical data of nine patients (7 males) undergoing orthotopic heart transplantation for end-stage hypertrophic cardiomyopathy in our center. All patients received induced therapy protocols peri-operative and standard triple maintenance immunosuppressive therapy postoperative.
Results:
One recipients developed acute renal failure due to renal artery embolism and allograft rejection in the early posttransplantive course, symptoms and signs were improved under continuous renal replacement therapy and steroid-pulse therapy, this patient died of sudden cardiac arrest at 32 months post transplantation. Another recipient developed demyelinating disease in frontal and parietal lobe and finally recovered with medical therapy. Eight patients survived the operation with good quality of life and there was no episode of rejection or infection or chronic graft arteriosclerosis during follow-up time. Three recipients developed left ventricular hypertrophy and there were no signs of grapg-vessel diseases in the survivals.
Conclusion:
Heart transplantation is the best therapeutic option for selected patients with end-stage hypertrophic cardiomyopathy.
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