Orthotopic heart transplantation with concurrent aortic valve replacement and coronary artery bypass grafting

We report a case of successful orthotopic heart transplantation of a donor heart with normal ventricular function, 2-vessel coronary artery disease, a nd a bicuspid aortic valve, which required concurrent aortic valve replacem ent and coronary artery bypass grafting, In confronting the disparities in demand and supply, we must consider the so-called marginally acceptable hea rt for either critically ill recipients or those who may be disadvantaged o n the waiting list.