First simultaneous heart and liver transplant in Spain

O Gregorio Marañón Hospital performed, for the first time in Spain, a simultaneous transplant of heart and liver for a patient with congenital heart disease –Changes in the structure of the heart that occur during embryonic development and prevent its proper functioning.

The patient, who does not belong to the Community of Madrid, underwent a failed open heart surgery as well as a heart and liver failure, that’s why his life was in danger, says the Ministry of Health in a statement.

The patient had a failed open heart surgery as well as heart and liver failure

In the operation, which lasted more than 12 hours and involved 30 health professionals, first the heart was transplanted and then the liver. Then, the patient went to the ICU from where, in a few days, he was transferred to the inpatient ward and was already discharged from the hospital.

According to EFE, they participated in the health intervention of the adult congenital heart disease program, the liver transplant unit, the general surgery service and the blood bank, among other units in Marañón, which is the National Reference Center (CSUR) in congenital heart disease since 2010.

Given the magnitude of the process, its planning involved the development of a multidisciplinary protocol to address quick decisions on the logistical and medical scale, and was coordinated by the National Transplant Organization (ONT)

A historic landmark in Spain

The patient had previously undergone Fontan or open heart surgery to “separate the circulation of the body and lungs” from people born with a single ventricle, a complex intervention that can affect the liver in the long run.

Therefore, when the situation is serious and irreversible, the only viable treatment is combined heart and liver transplant.

It is “another milestone in the success story of organ transplantation in Spain, as well as a breakthrough and hope” for the treatment of adults with end-stage congenital heart disease and secondary multiple vital organ failure.


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