HISTORY OF MEDICINE
TWO THOUSAND YEARS OF TRANSPLANTATION
Compiled by Rachel Hajar, MD, FACC*
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YEAR |
ANTIQUITY |
LOCATION |
800 BC |
The surgeon Susrata grafted new noses created from
skin flaps.1 |
India |
c.15 AD |
Saint Peter “replaced” a young woman’s breasts, which
were cut off as punishment by Roman guards (Report). 1
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Jerusalem |
c. 200 AD |
Hua- To replaced diseased organs with healthy ones: first reference to the concept of organ transplantation and
replacement for therapeutic purposes.1
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China |
c. 300 AD |
Report of the miracle by Saints Cosmos and Damian (patrons or physicians & surgeons): leg of a deceased
Moor was grafted onto a person whose leg was diseased. 1
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Turkey |
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MIDDLE AGES |
1200 AD |
Saint Anthony of Padua reportedly “grafted” the foot of a
young man who had deliberately mutilated himself. 1 |
Padua, Italy |
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Organ Year |
16th to 21st CENTURY |
LOCATION |
Skin 16th C. |
Gaspare Tagliocozzi transplanted skin from patients’ own arms to re-create their noses.1 |
Italy |
1746 |
Garengeot successfully regrafted a soldier’s nose.1
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France |
1822 |
First successful skin autograft by Berger.
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1869 |
Fresh allograft skin transplant by Jacques Louis Reverdin. 2
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Switzerland |
1881 |
A medical journal reported the first temporary skin graft from a patient who had just died. 3
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1940s
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Sir Peter Medawar reported using refrigerated skin as temporary “dressing” for burns. 3
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London, England |
1971
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irst human skin allografts using cryopreserved human
skin. 4
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Organ Year |
16th to 21st CENTURY |
LOCATION |
Bone 1668 |
First
successful bone graft documented by Job Van Meeneren (from dog’s
skull used to repair defect in human cranium. 2 |
Holland |
1880 |
First clinical bone autograft by William MacEwen. 2 |
Scotland |
1908 |
Successful limb transplants between dogs by Alexis
Carrel. 4 |
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1908 |
Successful cadaveric knee joint transplant by Eric
Lexer. 2
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Cornea 1880 |
First reported cornea transplant. 3 |
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1905 |
Edward Zirm, an Austrian ophthalmologist, restored sight to a workman blinded by lime with a corneal
transplant. 3
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Austria |
Kidney 1902 |
First successful experimental animal kidney transplant
(in neck of a dog) by Emerich Ullman and Alexis Carrel. 4 |
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1906 |
First human kidney transplant using animal kidney
(xenograft) by Jaboulay. 4
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1908 |
First autologous renal transplant with survival of several
years by Carrell. 4
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1913 |
Experimental kidney transplant from monkey into a young
girl with nephritis due to mercury poisoning– died 60 hours
after transplant.1
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1933 |
First homologous kidney transplant from cadaver. 4 |
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1933 |
First human allograft kidney transplant (Voronoy). |
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1954 |
First successful kidney transplant in the world by Joseph Murray. Donor was the living identical twin brother of the recipient and the kidney functioned for 8 years.
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Boston, MA, USA |
Liver1963 |
First human liver transplant by Starzl. 4 |
Denver,
Colorado, USA
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1967 |
First successful liver transplant in the world – Starzl. 4 |
Denver,
Colorado, USA
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Organ Year |
16th to 21st CENTURY |
LOCATION |
1989 |
First successful living-related liver transplant |
Chicago, Ill, USA |
1992 |
First baboon to human liver transplant; Recipient lived 70 days. 2 |
Pittsburgh, PA, USA |
1996 |
First successful split-liver transplant from cadaveric donor. 4 |
Hamburg, Germany |
Pancreas 1967 |
Richard Lillehei performed the first successful pancreas transplant. 3 |
Univ. Minnesota USA |
1978 |
First successful pancreas transplant from a living relative donor; functioned for 84 months. 4 |
Minneapolis, Minnesota, USA |
Hand 7 1964 |
World’s first hand transplant performed. |
South America |
1998 |
Second hand transplant but 3 years later, doctors had to amputate the hand due to failure of patient to follow anti-rejection treatment. |
Lyons, France |
1999 |
First successful hand transplant. Patient doing well and continues to improve (up to time of printing this issue)
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Louisville, Ky, USA |
2000 |
World’s first double hand transplant |
Lyon, France |
2000 |
World’s first arm & hand transplant on baby born with severe arm deformity. Donor from identical twin sister
who died at birth.
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Malaysia |
Lung
1963 |
First lung transplant by James Hardy. 3 |
Mississippi, USA |
1983 |
First successful single lung transplant. 2 |
Toronto, Canada |
1986 |
First successful double lung transplant. 6 |
Toronto, Canada |
1990 |
First successful living related lung lobes transplant<> |
Stanford, California, USA |
1993 |
First successful single lung transplant – one from each recipient’s parents |
Los Angeles, California, USA |
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Organ Year |
16th to 21st CENTURY |
LOCATION |
Heart 1967 |
First successful heart transplant by Christian Barnard – the heart functioned for 18 days. 3 |
Cape Town, South Africa |
1982 |
First artificial heart transplant – functioned for112 days. 2 (Jarvik-7) |
Salt Lake City, Utah, USA |
1984 |
First baboon to human heart transplant (Baby Faye); Heart functioned for 20 days. 4 |
Loma Linda, California, USA |
1985 |
First artificial heart bridge – functioned 9 days. 4
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Tucson, Arizona,USA |
2001 |
First permanent artificial heart implantation in human. (ABIOCOR)
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Louisville, Kentucky, USA |
Heart & Lung 1987 |
First “domino” transplant – a patient with diseased lungs but healthy heart receives a heart-lung transplant and donates his healthy heart to a patient needing a heart transplant. 4 |
Baltimore, Maryland, USA |
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YEAR |
REJECTION & IMMUNOSUPPRESSION |
LOCATION |
1923 |
Williamson confirmed the success of autologous transplantations in a dog and the rejection of homologous transplants. 1 |
Mayo Clinic, Rochester. Minnesota,USA |
1972 |
Immunosuppressive properties of cyclosporine identified and isolated from the fungus Tolypocladium inflatum. 8 |
Basle, Switzerland |
1980 |
Cyclosporine molecule first synthesized. 8 |
Basle, Switzerland
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Graft survival:With the introduction in the early 1980s of the drug cyclosporine, which prevents rejection of transplanted organs by suppressing the body’s immune system, survival rates of transplanted organs have dramatically improved. According to the United Network for Organ Sharing’s 1996 report, one-year survival rates for liver transplants average about 70%; heart 82%; lung 71%; kidney 81%; living donor kidney 91%; and pancreas 74%.
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Alexis Carrel (1912) |
Peter Brian Medawar (1960) |
Frank Burnett (1960) |
oseph E. Murray (1990) |
E. Donall Thomas (1990) |
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“in recognition of his work on vascular suture and the transplantation of blood vessels and organs”
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for discovery of acquired immunological
tolerance” |
“for their discoveries concerning Organ and Cell Transplantation in the Treatment of Human Disease” |
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1. Kuss R, Bourget P. An illustrated
history of organ transplantation: the great
adventure of the
century. France: Laboratoires Sandoz, Rueil-Malmaison,
1992.
2. Timeline by the Donor Network of Arizona
(http://www.dnaz.org/timeline/)
3. History of Transplantation by Golden
State Donor Services
(http://www.gsds.org/faq/history.html)
4. History of Transplantation (http://www.transweb.org/reference/timeline/1982.htm)
5. Morris,P. Kidney transplantation: a
history. In: Hamilton D. Kidney transplantation:
principles and
practice. 4th ed.,London: W.B. Saunders.
6. Milestones in transplantation by
the United Network for Organ Sharing
(http://www.unos.org/newsroom/critdata_milestones.htm)
7.  Hand Transplant History (http://www.handtransplant.com/procedure/history.html)
8. Grebenau, M. Cyclosporine - Persistence
and Serendipity
9. http://www.nobel.se/medicine/index.html
*Director, Non-Invasive Cardiac Laboratory, Department of Cardiology & Cardiovascular Surgery, Hamad Medical Corporation,
P.O. Box 3050, Doha, Qatar., E-mail:rachel@hmc.org.qa
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