Successful resection of oesophageal adenocarcinoma 16 years after heart transplantation-a case report

International Journal of Surgery Case Reports
Filip EckerströmHans K Pilegaard

Abstract

With improving results of heart transplantation and subsequently increasing survival, long-term complications such as neoplastic malignancies are more often being discovered. In this report, we present a unique case of successful oesophagus resection with gastric pull-up, on a heart-transplanted patient diagnosed with oesophageal adenocarcinoma. With the growing number of long-term surviving heart transplanted patients, the number of neoplasia in this patient-group will subsequently grow. Since physical condition and quality of life in long-term surviving heart transplanted patients is comparable to the general population, and since surgical treatment remains the mainstay of treatment for localised oesophageal carcinoma in non-heart transplanted patients, a larger subgroup of heart transplanted patients will most likely be considered for cancer surgery. Our case demonstrates the possibility of operating on the heart transplanted patient-group, and supports the option, that well-managed heart transplantation not should be a limiting factor, when deciding whether a patient is a candidate for surgical intervention or not.

References

May 10, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M RinaldiM Viganò
Nov 26, 2002·The Journal of Thoracic and Cardiovascular Surgery·A C AnyanwuM H Yacoub
Jul 28, 2004·The Annals of Thoracic Surgery·Dipin GuptaDaniel T Dempsey
Sep 27, 2005·The Annals of Thoracic Surgery·Burkhard H A von RahdenJ Rüdiger Siewert
Jun 3, 2009·Journal of Cardiac Surgery·Tahir YagdiJayan Parameshwar

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Methods Mentioned

BETA
pull-up
biopsy

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