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Arthur Schoenberg,
81, has died 15 years after becoming the "poster boy"
for the transplantation of hearts into older patients.
Schoenberg at age 66
became the oldest person to that point to receive a heart transplant
in the United States when he got his heart on Sept. 21, 1986 at
the UCLA Medical Center.
The recommended cutoff
point for heart transplants in the United States at that time
was age 55.
"He was
the poster boy," said Dr. Davis Drinkwater, the surgeon who
performed the transplant who is now chairman of the department
of cardiac and thoracic surgery at the Vanderbilt University.
"He led the whole movement of making alternate donor organs
available to older patients."
At UCLA today,
patients under 65 years of age in need of a heart transplant are
placed on the standard waiting list.
But those
70 or older are placed on an alternate list for hearts that might
not be acceptable for younger patients. A heart donated from someone
with coronary disease, for example, might not be acceptable for
a young person, but could provide years of life for an older patient.
Those aged
65 to 70 are placed on both lists.
"By
sorting potential recipients by age, transplant centers can save
lives among older transplant candidates, use donor hearts that
might otherwise be unused in younger patients, and make sure that
hearts suitable for younger individuals are not diverted away
from them," said Dr. Daniel Marelli, an assistant professor
of cardiac surgery at UCLA.
According
to the United Network for Organ Sharing, 542 people age 65 or
older are now on waiting lists around the country for donor hearts.
Other
sources: Los Angeles Times, American Heart Association
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