Posts Tagged ‘liver transplant’

Emory Transplant Center Performs First Triple Organ Transplant Procedure in Georgia

The team at the Emory Transplant Center has performed more organ transplants in the state of Georgia than any other transplant center. Because the Georgia community trusts the expertise of our transplant team, we have performed some of the most complex transplant procedures in the area. Our team performed the first hand transplant in the state of Georgia and the Southeast, for example, and we’ve performed over half of the multi-organ transplants in Georgia. While you’ve seen us share stories like that of Jo Ellen Kimball and her double lung transplant, multi-organ transplants are rare, making up just over 1% of all transplant procedures conducted in Georgia since 1988. But even more rare, is a double transplant involving a heart and a liver, with only 60 of these procedures having been performed in the U.S. And even more rare, a triple transplant, involving the transplantation of a heart, liver and kidney.

Stephanie Lindstrom

Stephanie Lindstrom

Today, thanks to a triple organ transplant, a 37-year-old mother of two in Georgia is celebrating Christmas with a renewed spirit of hope and thankfulness this year. Just five months ago, Stephanie Lindstrom received a triple organ transplant at Emory University Hospital, the first triple transplant ever to be performed in the state of Georgia.

Following a lifetime battle of congenital heart complications, Stephanie’s condition became critical this summer when she was told she would need not only a new heart, but that she would also need a new liver and kidney. All other interventions to help her were not successful.

“Because of Stephanie’s heart failure, she developed liver failure. Then she became septic, which led to kidney failure. So a triple organ transplant was our only hope to save her,” says Stuart Knechtle, MD, professor of surgery at Emory University School of Medicine and director of the Adult Liver Transplantation Program.

Stephanie, a former marathon runner, was born without a tricuspid valve, which helps move blood through the heart in the right direction. She had four surgeries as a child to repair the problem. After she graduated from college, more heart valve problems occurred, but this time, with her mitral valve. Doctors diagnosed Stephanie with mitral valve regurgitation and said it needed to be corrected.

Stephanie, who lives in South Carolina, scheduled an appointment with Wendy Book, MD, associate professor of medicine at Emory and medical director of Emory’s Adult Congenital Heart Disease Program. “When I first met Stephanie, I immediately knew she was a resilient, strong willed person who was a fighter,” says Dr. Book. “We knew her heart and liver were in bad shape because of her congenital complications, but problems with her kidney had not yet surfaced.”

In September 2011, Stephanie was placed on the waiting list for a heart and a liver. In May 2012, she contracted cytomegalovirus, and was admitted to the hospital to be put on dialysis and breathing machines. At that point, she was moved up on the waiting list for her new organs, which now included a kidney.

On July 7, 2012, doctors got the call that a match had been found for Stephanie. On that day, both her heart and liver were transplanted during a lengthy surgery.

First Brian Kogon, MD, surgical director of the Adult Congenital Heart Disease Program transplanted her new heart, assisted by David Vega, MD, director of Emory’s Heart Transplant Program. Then Knechtle and transplant surgeon Andrew Adams, MD, transplanted the liver. The following day, Knechtle transplanted her kidney. All three organs came from the same donor.

“The risks for a triple organ transplant are very high for a patient with a three-system failure, and one we had never attempted before,” says Kogon. “Her previous surgeries and critically-ill state at the time of the transplants made things challenging. But Mrs. Lindstrom’s age and determination to survive made her an ideal candidate for these procedures.”

Stephanie spent the next three months at Emory University Hospital recovering, while battling complications. She was able to return home in October 2012, five months after she was admitted.

“I am so grateful to the doctors, nurses and support staff who made these transplants possible,” says Stephanie. “They have given me a new lease on life. The holiday season has truly taken on such a special meaning to my family and me this year because of the many gifts we have been given.”

“Whatever Doesn’t Kill Me Had Better Start Running!”

Terri Lynne Transplant Patient & Dr. Dodson Transplant Surgeon

Terri Lynne giving her medal from the GA Transplant Games to her transplant surgeon, Dr. Dodson

Georgia native and Douglasville resident, Terri Lynne was born with a rare disease called Tyrosinemia, it is a genetic disorder characterized by elevated blood levels of the amino acid tyrosine, a building block of most proteins.  Terri’s disease caused her liver cancer that led to a liver transplant at the age of 13.   As a child, Terri had her transplant at Children’s Healthcare of Atlanta at Egleston and was performed by Emory’s Dr. Thomas Dodson, who started the pediatric liver transplant program in 1990.  Terri was only the 8th pediatric liver transplant in Georgia.  It’s been 20 years since Terri’s transplant, and she feels it is important to give back to the transplant community. So much so, in fact, that when Terri visits the Emory Transplant Center for her own appointments, she frequently shares her story and answer questions for people who are just beginning their own transplant journey. It’s her mission to let others know that even after undergoing a transplant, there are no limitations in what they can do.  In Terri’s case, she set not a long-term goal, but rather a long distance goal, to participate in her first marathon after receiving her transplant.

In her first attempt in making strides towards her goal, Terri signed up to run in a 400 meter race at the GA Transplant Games- but she was unable to finish the race.  That’s when Terri made it her mission for the next year to run the whole thing. She began taking baby steps towards her long distance goal in 2006 when she says, “I ran the first mile ever in my life and I couldn’t stop.”

Terri chose the Marine Corps Marathon in 2007 as her ultimate test.   “The final push for me to sign up came when a fellow transplant friend dared me to do it.  He told me he would shave his head if I ran the whole thing. Given my transplant and medical history, I wasn’t sure if I could do it but I wanted to find out.”

Terri finished the marathon in 6 hours and 6 minutes.

Now, when Terri visits the Emory Transplant Center and passes the inspirational photos of transplant recipients that have always graced its wall, she has something to celebrate.  “One of them is of me; I am crossing the finish line of that marathon.  A Marine gave me my finish medal; I gave him a hug and started crying, I couldn’t believe it. Sometimes, I still don’t believe it.”

And despite her improved health, Terri continues to visit the Emory Transplant Center, both as a patient and an ad hoc advocate who is always willing to share her story and inspiration with other patients on her own visits.  “I have been going to Emory and Egleston since I was two years old; it is all I have ever known.  In the last three years I have had some issues with my liver and kidney numbers. It can be scary sometimes, but my coordinator Dianne [Dianne Thackston] has been very understanding, compassionate and has helped me deal with it. I wouldn’t trust my care to anyone but Emory!”, says Terri.

And in the true spirit of giving back in the way she was given to, Terri even donated one of her own medals from the GA Transplant Games to her surgeon, Dr. Dodson.  “I wanted to surprise him. I made him close his eyes, put the medal around his neck and said, ‘I won this for you’. It was a small way of saying thank you for saving my life and being able to do that made my day.”

Top Transplant Doctors in Atlanta are at Emory

Each year, Atlanta magazine recognizes the top doctors in the metro Atlanta area as ranked by a thorough physician-led research process. The 2011 Atlanta Magazine Top Docs list included 318 doctors from across the Atlanta area and across specialties, highlighting the cream of the crop in specialties ranging from pediatric to geriatric services and everything in between. We’re very pleased to announce that not only can you find over 100 of the doctors recognized this year here at Emory, seven of them are our very own transplant team members!

Our Emory Transplant Center and its physician team are unique in that they are part of a multidisciplinary team providing care in seven core transplant specialty areas: kidney transplant, pancreas transplant, heart transplant, hand transplant, islet transplant, liver transplant & lung transplant. All of our doctors here at Emory Healthcare play a role in changing and saving lives, but often times our transplant team and the treatments they provide touch the lives of our patients and their families on a deeper level. And more often than not, receiving treatment from our transplant specialists is their last, if not only option. Thankfully, based on our program’s rankings, both from a statistical post-transplant quality outcome perspective, and the perspective of the physician research team, researchers at Castle Connolly Medical LTD, and Atlanta Magazine, the Emory Transplant Center is a great option to have.

We again congratulate each of our transplant surgeons for their dedication to providing outstanding patient centered care for our patients and families faced with less than idea circumstances that can warrant organ transplantation. It is because of our multidisciplinary team of transplant specialists and their compassion, that recognition such as the Atlanta Top Doctors rankings is given. If you’d like to shout out a particular transplant doctor who has impacted your life, please do so in the comments below. You can also find the listing of transplant surgeons recognized in this year’s rankings below. If you’re interested, check out the full list of Emory Healthcare doctors recognized as the best doctors in Atlanta.

Pancreas & Kidney Transplant Doctors:

  • Chris Larsen, MD, DPhil – Transplant Surgeon
  • Kenneth Newell, MD – Transplant Surgeon

Liver Transplant Doctors:

  • Stuart Knecthle, MD – Transplant Surgeon

Lung Transplant Doctors:

  • Seth Force, MD – Transplant Surgeon

Heart Transplant Doctors:

  • Andrew Smith, MD – Transplant Surgeon
  • Javed Butler, MD – Cardiologist

Hand Transplant Doctors:

  • Linda Cendales, MD – Transplant Surgeon

 

 

 

Emory Transplant Center Achieves and Sustains Outstanding Quality Outcomes

Transplant Center OutcomesThe idea of replacing an organ via transplant can be a scary topic for people faced with a condition that may require one. At Emory, we’re consistently taking steps to improve transplant survival rates and hopefully, remove some of this fear for our patients. We’ve just received results from the January 2011 transplant center-specific report on outcomes from the Scientific Registry of Transplant Recipients (SRTR). We’re very pleased to announce that the Emory kidney transplant program, liver transplant program, and lung transplant program have all demonstrated consistently strong and in some cases better-than-expected patient outcomes.

Kidney Transplant

  • Emory’s overall one-year graft survival rate of 95.85% for the most recent cohort studied (July 2007 – December 2009) is statistically higher (p = .026) than the expected rate of 92.81%.
  • Emory’s living-donor graft survival rate of 100% is statistically higher (p =.033) than the expected rate of 96.36%.
  • Emory’s deceased donor graft survival rate is also numerically higher than expected (93.69% observed vs. 90.95% expected).

We’re pleased to also note that in 2010, the Emory transplant team performed 207 kidney transplants, and 22 pancreas transplant procedures – the largest number of transplants in the history of the kidney and pancreas transplant program. Of the 207 kidney transplants, 31% (64) involved living donors.

Lung Transplant

  • Emory’s one-year patient survival rate for the latest cohort (July 2007 – December 2009) is 90.14%, compared to a risk-adjusted expected rate of 82.74%.
  • Emory’s graft survival rate is 85.29%, compared to a risk-adjusted expected rate of 81.10%.

This past year, the Emory Transplant Center and team of transplant doctors performed its 300th lung transplant. The lung program has come a long way to reach this milestone, performing 35 transplants in 2010, a 300% increase over the annual total just 10 years ago.

Liver Transplant

Emory’s liver transplant program continues to achieve and sustain outstanding outcomes, with patient survival rates >91% following transplantation.

Since July 2008, our surgical transplant team has performed 241 liver transplantations (216 liver only, 25 liver/kidney combination transplants). Between January 1, 1988 – November 30, 2010, Emory has performed 67.9% (1,496 of 2,203) of all liver transplants in the state of Georgia.

Our transplant center continues to excel with statistically significant patient organ transplantation outcomes, demonstrating a commitment to high quality and patient success. If you have questions about our transplant program or outcomes, please leave them in the comments section below.

Innovative Treatment for Bile Duct Cancer Being Offered at Emory Transplant Center

The Emory Transplant Center is the only transplant center in Atlanta or the state of Georgia, and one of a few places in the country, performing a novel, life-saving protocol to treat bile duct cancer (cholangiocarcinoma). Cholangiocarcinoma is a lethal and aggressive cancer. Traditionally, the disease is treated with resection, surgically removing the tumor, but in many cases the cancer tends to continue to spread around the bile duct. In the past, patients with non-resectable bile duct cancer had little chance of survival.

The new protocol combines chemotherapy and radiation with a liver transplant, improving the likelihood of removing the entire source of cancer during surgery. The chemotherapy and radiation treat and sterilize the tumor bed, but using these options alone may eventually cause liver failure and thus the need for replacing the liver by performing a transplant.

Until recent years, patients diagnosed with cholangiocarcinoma had few treatment options and little chance of survival. This new protocol offers hope and optimism to patients with this difficult disease. Learn more about treatment for bile duct cancer from the video below: