1. Heart Transplant History, Screening and Operation

2. History ► 1933: First human-to-human kidney transplant (kidney never functioned). ► 1954: First successful kidney transplant from one twin to another with no anti-rejection drugs necessary. Dr. Joseph Murray, Brigham & Women's Hospital, Boston. (More kidney transplants between identical twins were performed immediately afterward, and some of those kidney recipients are still alive.) ► 1967: First successful liver transplant, Dr. Thomas Starzl, University of Colorado Health Sciences Center, Denver. ► 1967: World's first heart transplant, Dr. Christiaan Barnard, South Africa.

3. History cont… ► 1968: First successful heart transplant in United States, Dr. Denton Cooley at Houston's St. Luke's Episcopal Hospital. ► 1968: Uniform Anatomical Gift Act passed, creating the "Donor Card" and allowing families to consent to or refuse donation. It also prohibited doctors attending the donor from participating in organ removal or transplantation. ► 1978: Uniform Brain Death Act passed, expanding for the first time the traditional definition of death. "Brain death" IS death. ► 1983: Cyclosporine, a revolutionary anti-rejection drug, approved for commercial use, sparking a huge increase in transplants. ► 1984: National Organ Transplant Act passed, prohibiting the sale of human organs and setting up a national transplant network to procure and distribute organs. The United Network for Organ Sharing received the federal contract to oversee the network starting in 1986. ► 1986: "Routine request" law passed, requiring hospitals to give families the opportunity to donate organs by asking them in appropriate cases.

4. Screening ► Basic questions are asked: ► Have all other treatments been considered and tried or ruled out? ► Will the patient die without a heart transplant? ► Is the patient in relatively good health? ► Will the patient keep a healthy lifestyle after the surgery?

5. Operation http://www.pbs.org/wgbh/nova/eheart/transplant.html Hopefully this works...

6. Conclusion ► Many people don’t get the transplants they need ► Not enough hearts are available. ► People who do get transplants don’t often live beyond 10 years.