Successful resection of oesophageal adenocarcinoma 16 years after heart transplantation—a case report. (2016)

• Record Type: Journal Article
• Authors: Eckerström, Filip; Maagaard, Marie; Pilegaard, Hans K.
• Is Part Of: International journal of surgery case reports. Volume 21(2016)
• Page Start: 26
• Page End: 28
• Publication Date: 2016
• Subjects: Oesophagus cancer -- Oesophagus resection -- Heart transplantation -- Surgical approach; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2016.02.014
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Successful resection of oesophageal adenocarcinoma 16 years after heart transplantation. Aggressive surgical intervention is possible despite previous large-scale operations, such as HTx. Well-managed HTx is not a limiting factor, when deciding whether a patient is a candidate for surgical intervention. Abstract: Introduction: With improving results of heart transplantation and subsequently increasing survival, long-term complications such as neoplastic malignancies are more often being discovered. Presentation of case: 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. Discussion: 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. Conclusion: 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.