Early Post-Transplant Lymphoproliferative Disorder After Combined Heart-Liver Transplant: A Case Series (ISHLT 2026)
"He received ATG induction and cyclosporine (neurologic side effects with tacrolimus), mycophenolate mofetil (MMF), and prednisone taper for maintenance...He was subsequently transitioned from cyclosporine to everolimus...His tacrolimus was transitioned to sirolimus...His MMF was discontinued, and he is currently undergoing R-CHOP.Summary Recipients of HLT may face a higher risk of developing PTLD compared to those who receive single-organs. Larger, more comprehensive studies are necessary to confirm this observed trend and modifiable risk factors. If confirmed, HLT pts could potentially benefit from reduced immunosuppression regimen, leveraging immunologic tolerance associated with liver transplantation."