Curr Opin Organ Transplant. Conquering combined thoracic organ and liver transplantation: indications and outcomes for heart-liver and lung-liver transplantation.
Author information: 2 J. There are increasing number of cases reported in the literature, as the number of institutions utilizing this strategy is growing.
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Herein, we review the current literature of combined thoracic and liver transplantation. Indications for combined transplant and disease-specific outcomes are still being evaluated.
Additionally, salvage modalities such as extracorporeal membrane oxygenation and ex-vivo lung perfusion are also being described. SUMMARY: Combined thoracic and liver transplant continues to be a viable treatment option for patients with end-stage disease that would likely not survive single transplant alone.
Salvage modalities, such as extracorporeal membrane oxygenation and ex-vivo lung perfusion, may help in extending candidacy for this combined transplant. Outcomes, to date, are similar to results observed for solitary thoracic organ recipients, justifying CHLT and CLLT as a viable option for these patients.
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Continued identification of outcomes is needed to justify allocation of dual organs to a single recipient.
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