Table 1.
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. |