Dual-Organ Transplantation: Indications, Evaluation, and Outcomes for Heart-Kidney and Heart-Liver Transplantation: A Scientific Statement from the American Heart Association

Michelle M. Kittleson, Kavita Sharma, Daniel C. Brennan, Xingxing S. Cheng, Sheryl L. Chow, Monica Colvin, Adam D. Devore, Shannon M. Dunlay, Meg Fraser, Jacqueline Garonzik-Wang, Prateeti Khazanie, Kevin M. Korenblat, Duc T. Pham

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations

Abstract

Although heart transplantation is the preferred therapy for appropriate patients with advanced heart failure, the presence of concomitant renal or hepatic dysfunction can pose a barrier to isolated heart transplantation. Because donor organ supply limits the availability of organ transplantation, appropriate allocation of this scarce resource is essential; thus, clear guidance for simultaneous heart-kidney transplantation and simultaneous heart-liver transplantation is urgently required. The purposes of this scientific statement are (1) to describe the impact of pretransplantation renal and hepatic dysfunction on posttransplantation outcomes; (2) to discuss the assessment of pretransplantation renal and hepatic dysfunction; (3) to provide an approach to patient selection for simultaneous heart-kidney transplantation and simultaneous heart-liver transplantation and posttransplantation management; and (4) to explore the ethics of multiorgan transplantation.

Original languageEnglish
Pages (from-to)622-636
Number of pages15
JournalCirculation
Volume148
Issue number7
DOIs
StatePublished - Aug 15 2023

Keywords

  • AHA Scientific Statements
  • heart transplantation
  • kidney transplantation
  • liver transplantation

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