Partial heart transplantation: Current applications and management

Figure 1 Partial heart transplantation with split root procedure. Conceptual schematic depicting split-root partial heart transplantation. Illustrated by Megan Llewellyn, MSMI; copyright Duke University; with permission under a CC BY-ND 4.0 License. Citation: Aykut B, Overbey DM, Medina CK, Omer TM, Rajab TK, Ngeve SM, Beckerman Z, Turek JW. Partial Heart Transplantation Promotes Organ Stewardship: Domino Hearts and Split Roots. Ann Thorac Surg Short Rep 2025; 3: 86-91 [PMID: 40098863 DOI: 10.1016/j.atssr.2024.07.033]. Published by Elsevier Inc.[22].

Figure 2 Echocardiographic findings before and after partial heart transplantation in a neonate with truncus arteriosus and an irreparable truncal valve, which are representative of this patient. A: Apical image of the truncal valve (white arrow) in late diastole demonstrating qualitatively severe insufficiency (orange jet); B: Apical image of the surgically implanted partial heart on postoperative day 7 with aortic valve (white arrow) in the aortic position in late diastole demonstrating qualitatively trivial insufficiency (red jet). Informed consent was obtained for use of anonymized images.