First Heart, Lung, and Liver Transplant

First Heart, Lung, and Liver Transplant

An English woman named Davina Thompson became the first person to receive a combined heart, lung, and liver transplant on December 17, 1986.

Experiments with organ and tissue transplants began in the 19th century. A German doctor named Carl Bunger was able to graft skin from a woman's thigh onto her nose in 1823, but transplantation from one human being to another proved much more difficult. The French scientist Paul Bert and the German Carl Jensen determined that the problem lay in the body's immune system, which typically rejected transplants from other bodies. Some techniques for circumventing this problem were developed, with limited success, but significant progress was not made until 1958 when the French researcher Jean-Baptiste Gabriel Joachim Dausset developed a means for determining tissue compatibility that minimized the risk of rejection. Combined with the use of newly developed immunosuppressant drugs, South African surgeon Christiaan Barnard was able to make the first successful heart transplant on December 3, 1967, in Cape Town, South Africa. However, it was the introduction of Cyclosporine, the immunosuppressant that revolutionized the field of transplant surgery beginning in 1983.

By greatly reducing the risk of rejection, Cyclosporine made it possible for surgeons to perform thousands of routine transplants every year with a high survival rate among the patients. One such patient was Davina Thompson, who received her heart, lung, and liver transplant at Papworth Hospital in Cambridge, England, on December 17, 1986. Transplant operations on these organs and various combinations thereof had been performed before, but she was the first person to successfully receive all three.