VOLUME 2 NO.2 JUNE-AUGUST 2001

CARDIOVASCULAR    
   NEWS

  IN CONTEXT
 PERSPECTIVE
 REVIEW
 ORIGINAL ARTICLE
 CASE REPORTS
 A PICTURE IS WORTH
   A THOUSAND WORDS
 HISTORY OF MEDICINE
 ART & MEDICINE
 SPECIAL SECTION
 QATAR HEART PAGE
 LETTERS
 FILLER
 EDITOR
 
 

HISTORY OF MEDICINE

TWO THOUSAND YEARS OF TRANSPLANTATION

Compiled by Rachel Hajar, MD, FACC*

ANTIQUITY

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

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

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

Turkey


 

MIDDLE AGES

MIDDLE AGES

1200 AD

Saint Anthony of Padua reportedly “grafted” the foot of a young man who had deliberately mutilated himself. 1

Padua, Italy

 

 

 

16th to 21st CENTURY

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

France

1822

First successful skin autograft by Berger. 

 

1869

Fresh allograft skin transplant by Jacques Louis
Reverdin. 2

Switzerland

1881

A medical journal reported the first temporary skin graft
from a patient who had just died. 3

 

1940s

Sir Peter Medawar reported using refrigerated skin as
temporary “dressing” for burns. 3

London,
England

1971

irst human skin allografts using cryopreserved human skin. 4

 
  
   

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

 

1908

Successful cadaveric knee joint transplant by Eric Lexer. 2

 

Cornea

1880

 

First reported cornea transplant. 3

 

1905

Edward Zirm, an Austrian ophthalmologist, restored
sight to a workman blinded by lime with a corneal transplant. 3

Austria

Kidney

1902

 

First successful experimental animal kidney transplant (in neck of a dog) by Emerich Ullman and Alexis Carrel. 4

 

1906

First human kidney transplant using animal kidney (xenograft) by Jaboulay. 4

 

1908

First autologous renal transplant with survival of several years by Carrell. 4

 

1913

Experimental kidney transplant from monkey into a young girl with nephritis due to mercury poisoning– died 60 hours after transplant.1

 

1933

First homologous kidney transplant from cadaver. 4

 

1933

First human allograft kidney transplant (Voronoy).

 

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.

Boston, MA,
USA

Liver

1963

 

First human liver transplant by Starzl. 4

Denver, Colorado, USA

1967

 

First successful liver transplant in the world – Starzl. 4

Denver, Colorado, USA


   

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)

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.

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


   

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

Tucson, Arizona,USA

2001

First permanent artificial heart implantation in human.
(ABIOCOR)

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


 

REJECTION & IMMUNOSUPPRESSION

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

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%.


 

NOBEL PRIZES IN TRANSPLANTATION 9

Alexis Carrel
(1912)
Peter Brian Medawar
(1960)
Frank Burnett
(1960)
oseph E. Murray
(1990)
E. Donall Thomas
(1990)
“in recognition of his work on vascular suture and the transplantation of blood vessels and organs”
for discovery of acquired
immunological tolerance”
“for their discoveries concerning Organ and Cell Transplantation in the Treatment of Human Disease”

Sources:

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


A Touch of Whimsy

 

*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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