Summary of a consensus conference on heart-liver transplantation.

Authors

• Jon Kobashigawa
• Lisa B VanWagner
• Shelley Hall
• Juliet Emamaullee
• John W Entwistle
• Daniel Ganger
• Howard Gebel
• Valluvan Jeevanandam
• Fady Kaldas
• Ahmet Kilic
• Michelle Kittleson
• Sudhir Kushwaha
• Allison Kwong
• George K Lui
• Negar Motayagheni
• Jignesh Patel
• Nikhil Patel
• Naveen Pereira
• Lisa Potter
• Maryam Sani
• Thomas D Schiano
• Alexandra Shingina

Publication/Presentation Date

3-1-2024

Abstract

Patients with severe heart disease may have coexisting liver disease from various causes. The incidence of combined heart-liver transplant (CHLT) is increasing as more patients with congenital heart disease survive to adulthood and develop advanced heart failure with associated liver disease from chronic right-sided heart or Fontan failure. However, the criteria for CHLT have not been established. To address this unmet need, a virtual consensus conference was organized on June 10, 2022, endorsed by the American Society of Transplantation. The conference represented a collaborative effort by experts in cardiothoracic and liver transplantation from across the United States to assess interdisciplinary criteria for liver transplantation in the CHLT candidate, surgical considerations of CHLT, current allocation system that generally results in the liver following the heart for CHLT, and optimal post-CHLT management. The conference served as a forum to unify criteria between the different specialties and to forge a pathway for patients who may need dual organ transplantation. Due to the continuing shortage of available donor organs, ethical issues related to multiorgan transplantation were also debated. The findings and consensus statements are presented.

Volume

24

Issue

3

First Page

380

Last Page

390

ISSN

1600-6143

Published In/Presented At

Kobashigawa, J., VanWagner, L. B., Hall, S., Emamaullee, J., Entwistle, J. W., Ganger, D., Gebel, H., Jeevanandam, V., Kaldas, F., Kilic, A., Kittleson, M., Kushwaha, S., Kwong, A., Lui, G. K., Motayagheni, N., Patel, J., Patel, N., Pereira, N., Potter, L., Sani, M., … Consensus Conference participants (2024). Summary of a consensus conference on heart-liver transplantation. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 24(3), 380–390. https://doi.org/10.1016/j.ajt.2023.12.002

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

38072122

Department(s)

Administration and Leadership

Document Type

Article