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== Background ==
== Background ==
The first combined heart-lung transplant was accomplished by [[Denton Cooley]] in 1968, in [[Houston]], in a two-year old girl with severe [[pulmonary hypertension]]. Despite surviving less than a day, her case showed that this kind of procedure could be effective.<ref name="Margreiter2016">{{Cite journal|last=Margreiter|first=R.|date=October 2016|title=History of Lung and Heart-Lung Transplantation, With Special Emphasis on German-Speaking Countries|url=https://www.transplantation-proceedings.org/article/S0041-1345(16)30400-6/fulltext|journal=Transplantation Proceedings|language=English|volume=48|issue=8|pages=2779–2781|doi=10.1016/j.transproceed.2016.07.015|issn=0041-1345|via=}}{{Subscription required}}</ref> The second such transplant was performed in 1969,<ref>http://circ.ahajournals.org/content/100/13/1364</ref> by [[C. Walton Lillehei]] at [[NewYork–Presbyterian Hospital|Cornell University Medical Center in New York City]], in a 43-year-old man with [[emphysema]]. He lived for eight days.<ref name="Margreiter2016" /> In 1971, Sout African [[Christiaan Barnard]], also performed a combined heart-lung transplant in a 49-year-old man with emphysema, surviving for 23 days.<ref name="Margreiter2016" /> The poor survival rates of these early transplantations, primarily resulted from inadequate immunosuppression and difficulties with [[anastomosis|joining]] the [[bronchus|airways]]. In addition, [[Joel D. Cooper]] had found [[corticosteroids]] to weaken the bronchial anastomosis.<ref name="Yeung2014">{{Cite journal|last=Yeung|first=Jonathan C.|last2=Keshavjee|first2=Shaf|date=January 2014|title=Overview of Clinical Lung Transplantation|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3869283/pdf/cshperspectmed-TRN-a015628.pdf|journal=Cold Spring Harbor Perspectives in Medicine|volume=4|issue=1|pages=|doi=10.1101/cshperspect.a015628|issn=2157-1422|pmc=PMC3869283|pmid=24384816|via=}}</ref>
The first combined heart-lung transplant was accomplished by [[Denton Cooley]] in 1968, in [[Houston]], in a two-year old girl with severe [[pulmonary hypertension]]. Despite surviving less than a day, her case showed that this kind of procedure could be effective.<ref name="Margreiter2016">{{Cite journal|last=Margreiter|first=R.|date=October 2016|title=History of Lung and Heart-Lung Transplantation, With Special Emphasis on German-Speaking Countries|url=https://www.transplantation-proceedings.org/article/S0041-1345(16)30400-6/fulltext|journal=Transplantation Proceedings|language=English|volume=48|issue=8|pages=2779–2781|doi=10.1016/j.transproceed.2016.07.015|issn=0041-1345|via=}}{{Subscription required}}</ref> The second such transplant was performed in 1969,<ref>http://circ.ahajournals.org/content/100/13/1364</ref> by [[C. Walton Lillehei]] at [[NewYork–Presbyterian Hospital|Cornell University Medical Center in New York City]], in a 43-year-old man with [[emphysema]]. He lived for eight days.<ref name="Margreiter2016" /> In 1971, Sout African [[Christiaan Barnard]], also performed a combined heart-lung transplant in a 49-year-old man with emphysema, surviving for 23 days.<ref name="Margreiter2016" /> The poor survival rates of these early transplantations, primarily resulted from inadequate immunosuppression and difficulties with [[anastomosis|joining]] the [[bronchus|airways]]. In addition, [[Joel D. Cooper]] had found [[corticosteroids]] to weaken the bronchial anastomosis.<ref name="Yeung2014">{{Cite journal|last=Yeung|first=Jonathan C.|last2=Keshavjee|first2=Shaf|date=January 2014|title=Overview of Clinical Lung Transplantation|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3869283/pdf/cshperspectmed-TRN-a015628.pdf|journal=Cold Spring Harbor Perspectives in Medicine|volume=4|issue=1|pages=|doi=10.1101/cshperspect.a015628|issn=2157-1422|pmc=PMC3869283|pmid=24384816|via=}}</ref>

==Stanford group==
Jamieson was part of the team that achieved the first long-term survival following a combined heart-lung transplant procedure. Led by [[Bruce Reitz]],<ref name="StanfordFirst1981">{{Cite news|url=http://125.stanford.edu/first-heart-lung-transplant/|title=World's first successful heart-lung transplant - Stanford 125|last=125|first=Stanford|date=8 April 2016|work=Stanford 125|access-date=27 June 2018|language=en-US}}</ref> on 9 March 1981, the recipient was a 45-year-old woman with [[Eisenmenger's syndrome]] and she lived for 5 years.<ref name="Margreiter2016" /> A series of combined heart-lung transplant procedures followed and was achieved when [[Collateral circulation|alternative blood vessels]] provided blood to the main airways, reducing bronchial [[ischaemia|restricted blood supply]] as the [[Coronary circulation|coronary blood vessels]] remained intact after the [[bronchial artery]] had been [[ligature (medicine)|ligated]]. The additional use of [[cyclosporine]] reduced acute rejection.<ref name="Margreiter2016" /><ref name="McShane2012">{{Cite book|url=https://www.worldcat.org/oclc/810330412|title=Clinical respiratory medicine|last=McShane|first=Pamela J.|last2=Ruiz|first2=Luis G.|last3=Garrity|first3=Edward R.|date=2012|publisher=Elsevier Saunders|others=Spiro, Stephen G., Silvestri, Gerard A., Agustí, Alvar.|year=|isbn=1455723290|edition=4th ed|location=Philadelphia, PA|pages=882-903|chapter=75. Clinical Respiratory Medicine|oclc=810330412}}</ref><ref name="Novitzky1990">{{cite book|url=https://books.google.com/books?id=FjDrCAAAQBAJ|title=The Transplantation and Replacement of Thoracic Organs: The Present Status of Biological and Mechanical Replacement of the Heart and Lungs|publisher=Kluwer Academic Publishers|others=Dimitry Novitzky|year=1990|isbn=978-94-010-6805-5|editor=D.K. Cooper}}</ref>

Simultaneous work in Toronto, under Joel D. Cooper and the Toronto transplant group also reported success with single-lung transplants and then with en bloc bilateral lung transplants.<ref name="Margreiter2016" /> Over the next two decades, the state of lung transplantation grew and multiple lung transplant centers became global. Bilateral and single-lung transplants continued to account for most procedures performed. Heart-lung transplants became reserved primarily for those patients with the Eisenmenger anomaly or severe primary pulmonary hypertension.<ref name="McShane2012" />


== Pulmonary thromboendarterectomy ==
== Pulmonary thromboendarterectomy ==

Revision as of 02:56, 3 July 2018

Professor
Stuart W. Jamieson
FRCS
Born
Stuart William Jamieson

Zimbabwe
EducationSt Mary's Hospital Medical School, London
OccupationCardiothoracic surgeon
Known forpulmonary thromboendarterectomy
Medical career
Awards

Stuart W. Jamieson, FRCS, is a cardiothoracic surgeon, specialising in the surgical treatment of chronic thromboembolic pulmonary hypertension (CTEPH).[1] He was part of the team that performed the world's first successful heart-lung transplant procedure at Stanford University in 1981,[2][3] following which he continued to make significant contributions to heart-lung transplant procedures and leading programmes in cardiothoracic surgery in both adults and children.[4] He is the Dean of Cardiovascular Affairs and Endowed Chair and Distinguished Professor of Surgery at the University of California's (UCSD) department of surgery, where he co-founded the Sulpizio Cardiovascular Center.[1]

Background

The first combined heart-lung transplant was accomplished by Denton Cooley in 1968, in Houston, in a two-year old girl with severe pulmonary hypertension. Despite surviving less than a day, her case showed that this kind of procedure could be effective.[5] The second such transplant was performed in 1969,[6] by C. Walton Lillehei at Cornell University Medical Center in New York City, in a 43-year-old man with emphysema. He lived for eight days.[5] In 1971, Sout African Christiaan Barnard, also performed a combined heart-lung transplant in a 49-year-old man with emphysema, surviving for 23 days.[5] The poor survival rates of these early transplantations, primarily resulted from inadequate immunosuppression and difficulties with joining the airways. In addition, Joel D. Cooper had found corticosteroids to weaken the bronchial anastomosis.[7]

Stanford group

Jamieson was part of the team that achieved the first long-term survival following a combined heart-lung transplant procedure. Led by Bruce Reitz,[3] on 9 March 1981, the recipient was a 45-year-old woman with Eisenmenger's syndrome and she lived for 5 years.[5] A series of combined heart-lung transplant procedures followed and was achieved when alternative blood vessels provided blood to the main airways, reducing bronchial restricted blood supply as the coronary blood vessels remained intact after the bronchial artery had been ligated. The additional use of cyclosporine reduced acute rejection.[5][8][9]

Simultaneous work in Toronto, under Joel D. Cooper and the Toronto transplant group also reported success with single-lung transplants and then with en bloc bilateral lung transplants.[5] Over the next two decades, the state of lung transplantation grew and multiple lung transplant centers became global. Bilateral and single-lung transplants continued to account for most procedures performed. Heart-lung transplants became reserved primarily for those patients with the Eisenmenger anomaly or severe primary pulmonary hypertension.[8]

Pulmonary thromboendarterectomy

Jamieson’s landmark publication in 2003, describing the first 1,500 cases of pulmonary thromboendarterectomy (PTE), confirmed the benefits of surgery and dismissed myths of poor right ventricular function being a reason for classifying a patient as not fit for surgery.[10] Whatever the degree of right ventricular failure, PEA improved patients lives, their “desiring employment and returning to work”.[10] Whereas medical managemnet may provide some temporary relief of symptoms, PTE is considered curative for chronic thromboembolic pulmonary hypertension.[11][12]

During his four decades at UCSD, Jamieson made modifications to the procedure of PTE, adapted surgical instruments and proposed a classification of CTEPH.[13]

Awards

In 1978, he was awarded the Irvine H. Page Atherosclerosis Research Prize by the American Heart Association (AHA).[14]

In 2008, Jamieson won the Ellis Island Medal of Honor, an award that pays tribute to diversity.[1]

At the 37th annual meeting of the International Society for Heart and Lung Transplantation (ISHLT), Jamieson received the Prestigious Pioneer Award. Held in San Diego on 5 April 2017, his lecture was titled Standing on the Shoulders of Giants.[15]

Selected publications

References

  1. ^ a b c "UCSD transplant surgeon Stuart Jamieson to receive prestigious pioneer award". UC San Diego School of Medicine. Retrieved 30 June 2018. {{cite web}}: Cite has empty unknown parameter: |dead-url= (help)
  2. ^ Stanger, Shelby (May 2011). San Diego Magazine. CurtCo/SDM LLC. p. 80.{{cite book}}: CS1 maint: date and year (link)
  3. ^ a b 125, Stanford (8 April 2016). "World's first successful heart-lung transplant - Stanford 125". Stanford 125. Retrieved 27 June 2018. {{cite news}}: |last= has numeric name (help)
  4. ^ "Stuart W Jamieson | RadcliffeCardiology". www.radcliffecardiology.com. Retrieved 30 June 2018. {{cite web}}: Cite has empty unknown parameter: |dead-url= (help)
  5. ^ a b c d e f Margreiter, R. (October 2016). "History of Lung and Heart-Lung Transplantation, With Special Emphasis on German-Speaking Countries". Transplantation Proceedings. 48 (8): 2779–2781. doi:10.1016/j.transproceed.2016.07.015. ISSN 0041-1345.(subscription required)
  6. ^ http://circ.ahajournals.org/content/100/13/1364
  7. ^ Yeung, Jonathan C.; Keshavjee, Shaf (January 2014). "Overview of Clinical Lung Transplantation" (PDF). Cold Spring Harbor Perspectives in Medicine. 4 (1). doi:10.1101/cshperspect.a015628. ISSN 2157-1422. PMC 3869283. PMID 24384816.{{cite journal}}: CS1 maint: PMC format (link)
  8. ^ a b McShane, Pamela J.; Ruiz, Luis G.; Garrity, Edward R. (2012). "75. Clinical Respiratory Medicine". Clinical respiratory medicine. Spiro, Stephen G., Silvestri, Gerard A., Agustí, Alvar. (4th ed ed.). Philadelphia, PA: Elsevier Saunders. pp. 882–903. ISBN 1455723290. OCLC 810330412. {{cite book}}: |edition= has extra text (help)
  9. ^ D.K. Cooper, ed. (1990). The Transplantation and Replacement of Thoracic Organs: The Present Status of Biological and Mechanical Replacement of the Heart and Lungs. Dimitry Novitzky. Kluwer Academic Publishers. ISBN 978-94-010-6805-5.
  10. ^ a b Ryan, John J.; Rich, Stuart; Archer, Stephen L. (2011). "Pulmonary Endarterectomy Surgery- A Technically Demanding Cure for WHO Group IV Pulmonary Hypertension: Requirements for Centers of Excellence and Availability in Canada". The Canadian journal of cardiology. 27 (6): 671–674. doi:10.1016/j.cjca.2011.09.013. ISSN 0828-282X. PMC 3555483. PMID 22019277.
  11. ^ Banks, Dalia A.; Manecke, Gerard R.; Maus, Timothy M.; Kerr, Kim M.; Jamieson, Stuart W. (2011). Joel A. Kaplan (ed.). Kaplan's Cardiac Anesthesia E-Book: Expert Consult Premium. David L. Reich, Steven N. Konstadt. Elsevier Saunders. p. 755. ISBN 978-1-4377-1617-7.
  12. ^ Kim, Nick H. (2016). Pulmonary hypertension. Oudiz, Ronald J. Philadelphia: Elsevier. p. 439. ISBN 9780323459600. OCLC 958566777.
  13. ^ Valentine, Vincent (2017). "Recapitulation of the Opening Plenary Session: San Diego 2017" (PDF). www.ISHLT.org. {{cite web}}: Cite has empty unknown parameter: |dead-url= (help)
  14. ^ "Irvine H. Page Young Investigator Research Award". professional.heart.org. Retrieved 20 May 2018. {{cite web}}: Cite has empty unknown parameter: |dead-url= (help)
  15. ^ "UCSD transplant surgeon Stuart Jamieson to receive prestigious pioneer award". UC San Diego School of Medicine. Retrieved 13 May 2018. {{cite web}}: Cite has empty unknown parameter: |dead-url= (help)



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