Doctors at the McGill University Health Center have announced Quebec's first successful combined heart/liver transplant.
The patient, Patrice Dionne, age 54 years, was transferred from the Institut de cardiologie de Quebec (l'htpital Laval) to the MUHC. The patient received his new heart and liver during a 6-hour operation on April 14, 2006 and was discharged 10 days later.
The complex procedure involved 15 physicians, surgeons and other health care professionals. The MUHC conducts the most organ transplants in Quebec and has the most comprehensive multi-organ transplant program in the province.
"Combined heart/liver transplants are so rare that the best technique for a combined implantation has not yet been elucidated," says Dr. Kevin Lachapelle, a Cardiac Surgeon at the MUHC, who performed the combined procedure with Dr. Peter Metrakos (Liver Surgeon). "Historically these procedures are done separately, but because both organs were procured from Quebec City at the same time by MUHC Drs. Ergina and Paraskevas and because sequential transplants can have a profound negative effect on the heart, we decided a simultaneous implantation offered the best hope of success."
The patient, Patrice Dionne, who was referred to the Institut de cardiologie de Quebec for medical evaluation for a possible heart transplant, was transferred to the MUHC after liver complications necessitated a complex multi-organ transplant. "The patient had waited three years for a heart transplant, during which time his liver began to deteriorate," says Dr. Bernard Cantin, Director of Heart Transplantation at the Institut de cardiologie de Quebec. "At this point we knew the MUHC was the only hospital where we could transfer our patient for this lifesaving surgery." The speed and ease at which this patient transfer occurred demonstrates the level of collaboration and teamwork that exists between hospitals within Quebec.