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. 2022 Nov 12;24(Suppl I):I160–I164. doi: 10.1093/eurheartjsupp/suac107

Table 1.

Pig to non-human primate xenograft models

Xenograft model Description Features Accepted for clinical trials Scientific rationale
Abdominal heterotopic System with two anastomoses: the infrarenal aorta supports the coronary arteries of the donor's heart while the recipient's inferior vena cava drains blood from the donor's pulmonary artery The pig's heart is contractile but cannot support the recipient's circulation No To study the mechanisms of rejection and the possible patterns of immunosuppression.
Orthotopic The recipient's heart is replaced with that of the pig. It can support circulation but with difficulty. Yes To study the mechanisms of rejection and the possible patterns of immunosuppression. Evaluate the hemodynamic efficacy of the transplant.
Intrathoracic heterotopic The pig's heart is placed on the right side of the recipient's chest and supports circulation. It combines the safety of heterotopic transplantation with the fact of having a heart capable of supporting circulation. Yes To study the mechanisms of rejection and the possible patterns of immunosuppression. Evaluate the hemodynamic efficacy of the transplant.