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Updated: Jun 4, 2025

A Modified Method for Heterotopic Mouse Heart Transplantion
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Domino partial heart transplantation.

Benjamin Alexander1, Eli Contorno1, Herra Javed1

  • 1Department of Cardiovascular Surgery, Arkansas Children's Hospital, Little Rock, Arkansas, USA.

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
|December 26, 2024
PubMed
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Cavoatrial Partial Heart Transplant: Ex Vivo Feasibility of a Novel Fontan Conduit.

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Protocol for partial heart transplantation of the pulmonary valve in a swine model: surgical technique, postoperative care, assessments and outcomes.

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Ethical Issues in Partial Heart Transplantation.

Artificial organs·2026

Domino partial heart transplantation offers a solution for pediatric heart valve replacement, utilizing donor hearts from heart transplant recipients. This innovative technique expands the donor pool, reducing the need for serial reoperations in children.

Area of Science:

  • Pediatric cardiothoracic surgery
  • Transplantation immunology
  • Biomaterials science

Background:

  • Pediatric heart valve replacement faces challenges with non-growing implants, necessitating multiple surgeries.
  • Current partial heart transplantation for valve growth is limited by donor heart availability.

Purpose of the Study:

  • To introduce and evaluate domino partial heart transplantation as a novel solution for pediatric heart valve replacement.
  • To address the donor heart scarcity issue in pediatric cardiac transplantation.

Main Methods:

  • Domino partial heart transplantation technique described.
  • Utilizes explanted hearts from adult heart transplant recipients for pediatric partial heart transplantation.

Main Results:

Keywords:
congenital cardiothoracic surgerycongenital heart defectsdomino transplantheart transplantpartial heart transplantpediatric cardiothoracic surgeryvalve replacement

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  • Potential to significantly expand the donor heart pool for pediatric partial heart transplantation.
  • Expected to increase the number of domino partial heart transplants compared to deceased donor partial heart transplants.

Conclusions:

  • Domino partial heart transplantation can overcome donor heart limitations in pediatric valve replacement.
  • This technique may transform pediatric cardiac surgery by enhancing donor availability and logistical efficiency.