Heart-Kidney Transplantation in a Transgender Woman

Cardiac Transplantation for Transgender Patients

“…In this issue of JACC: Case Reports , Lee et al 9 describe a rare case of dual organ cardiac and renal transplantation in a transgender woman. In their report, the authors highlight the challenges encountered in patient management and share their strategies.…”

“…Lee et al 9 nicely demonstrate that when a patient does get listed for cardiac transplantation, it is important to have a discussion with the patient regarding their hormone replacement therapy and that the patient should understand that the dosage or formulation can be modified or even temporarily held during the intraoperative period. The interaction of hormone therapy and immunosuppressive medications is stressed, as is the need to closely monitor tacrolimus levels.…”