The xenotransplantation procedure underway at the University of Maryland Medical Centre. Photo: University of Maryland
The procedure took place on Friday, and while the long-term prognosis for 57-year-old patient David Bennett is uncertain, the doctors hailed it as a “historic” milestone.
Bennett, who was still in the hospital recovering on Monday, said before the surgery: “It was either die or do this transplant. I want to live. I know it’s a shot in the dark, but it’s my last choice.”
“I look forward to getting out of bed after I recover,” he added, having been bedridden for months and hooked up to a heart-lung bypass machine.
Why was it necessary to use a pig’s heart?
The US Food and Drug Administration issued an emergency authorisation for the procedure on New Year’s Eve, a final ray of hope for a patient who was not suitable for a traditional organ transplant.
“This was a breakthrough surgery and brings us one step closer to solving the organ shortage crisis,” said Bartley Griffith, one of the surgeons on the team. “There are simply not enough donor human hearts available to meet the long list of potential recipients.”
About 110,000 Americans are currently waiting for an organ transplant, and more than 6,000 patients die each year before getting one, according to official figures.
Muhammad Mohiuddin, who co-founded the university’s cardiac xenotransplantation program, added the surgery was the culmination of years of research that involved transplanting pig organs into baboons.
The donor pigs are the result of gene editing that has removed certain markers that caused patients to reject the organs, or that led to the excessive growth sometimes seen in pigs.
Pig heart valves and pig skin grafts are already widely used on human patients.
Dr. Peter Chin-Hong, a doctor with the University of California, San Francisco, said the gene editing was the key difference between this attempt and earlier tries at the procedure.
“Our immune system is so vigrous” that it reacts to even “very minor perturbation that look foreign,” and reject them he told DW, adding that the result also allowed patients to use fewer anti-rejection medications and “live a more nomal existence.”
This article was first published DW and has been republished here with permission.