Dick Cheney Heart Transplant: Former Vice President Recovering After Undergoing Surgery

Former Vice President Dick Cheney addresses the third annual Washington Ideas Forum at the Newseum in Washington, Thursday Oct. 6, 2011. (AP Photo/Manuel Balce Ceneta)

WASHINGTON — Former Vice President Dick Cheney had a heart transplant Saturday, after five heart attacks over the past 25 years and countless medical procedures to keep him going. Cheney, 71, waited nearly two years for his new heart, the gift of an unknown donor.

An aide to Cheney disclosed the surgery after it was over, and said the ex-vice president was recovering at a Virginia hospital.

"Although the former vice president and his family do not know the identity of the donor, they will be forever grateful for this lifesaving gift," aide Kara Ahern said in a written statement that was authenticated by several of the Republican politician's close associates.

Cheney was recovering Saturday night at the intensive care unit of Inova Fairfax Hospital in Falls Church, Va., after surgery earlier in the day.

More than 3,100 Americans currently are on the national waiting list for a heart transplant. Just over 2,300 heart transplants were performed last year, according to the United Network for Organ Sharing. And 330 people died while waiting.

According to UNOS, 332 people over age 65 received a heart transplant last year. The majority of transplants occur in 50- to 64-year-olds.

The odds of survival are good. More than 70 percent of heart transplant recipients live at least five years, although survival is a bit lower for people over age 65.

The former vice president suffered a heart attack in 2010, his fifth since the age of 37.

That same year, he had surgery to have a small pump installed to help his heart keep working.

Called a "left ventricular assist device," or LVAD, that device took over the job of the heart's main pumping chamber, powered by special batteries worn in a fanny pack. It helps a person live a fairly normal life while awaiting a heart transplant, although some people receive it as permanent therapy. It was one of the few steps left, short of a transplant, to stay alive in the face of what he acknowledged was "increasing congestive heart failure."

In January 2011, Cheney said he was getting by on the battery-powered heart pump, which made it "awkward to walk around." He also said he hadn't made a decision yet on a transplant, but that "the technology is getting better and better."

Cheney said then that he'd "have to make a decision at some point whether I want to go for a transplant."

By that point, Cheney had been dealing with cardiovascular problems for more than two decades.

In 1988, he had quadruple bypass surgery, two artery-clearing angioplasties and the operation to implant a pacemaker, a device that monitored his heartbeat.

In 2005, Cheney had six hours of surgery on his legs to repair a kind of aneurysm, and in March 2007, doctors discovered deep venous thrombosis in his left lower leg. An ultrasound a month later showed the clot was getting smaller.

In July 2007, he had had a minor surgical procedure to replace the pacemaker.

Cheney served as former President George W. Bush's vice president for eight years, from 2001 until 2009. Cheney was a lightning rod for criticism during Bush's presidency, accused by opponents of often advocating a belligerent U.S. stance in world affairs during wars in Iraq and Afghanistan.

Former Massachusetts Gov. Mitt Romney, the front-runner for the Republican presidential nomination, wished Cheney a "fast and full recovery" in a post on Twitter. Former Pennsylvania Sen. Rick Santorum, Romney's chief challenger, sent a written statement wishing Cheney and his family well and offering his thoughts and prayers.

Like 5 million other Americans, Cheney has had congestive heart failure, meaning his heart had become too weakened to pump properly. That can happen for a variety of reasons, but Cheney's was due to cumulative damage from his multiple heart attacks.

Heart failure kills 57,000 Americans a year and contributes to many more deaths.

Shortly after Cheney's surgery was disclosed, one prominent cardiologist – Dr. Eric Topol of Scripps Health in La Jolla, Calif. – raised the issue of whether someone so old should have received a new heart.

"The ethicists will get into this case," he wrote on Twitter.

Others disagreed.

"It is not too old. Age is really not a factor," said Dr. William Zoghbi of Methodist Hospital's DeBakey Heart and Vascular Center in Houston. He is incoming president of the American College of Cardiology, and he spoke from the group's annual conference in Chicago on Saturday.

Zoghbi said Cheney may even fare better than younger people whose immune systems more actively fight new organs, raising concern about rejection.

"I don't see any ethical issues here," Zoghbi said, because a transplant is clearly indicated for someone whose heart is as weak as Cheney's was.

A heart transplant is a race against time. Doctors look to the waiting list for the next qualified candidate who is a good match to the newly donated heart, which typically comes from an accident victim. The patient must get to the operating room quickly, as a newly donated heart stays fresh for only about four to six hours.

During a heart transplant, a mechanical pump keeps blood flowing through the body while surgeons remove the diseased heart – and in Cheney's case, the previously implanted LVAD – and connect the new one.

Patients must take immune-suppressing medication for life, to keep their body's immune system from attacking the new, foreign organ. They typically stay in the hospital for a week or two, and require intensive cardiac rehabilitation.

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Associated Press writers Nancy Benac and Will Lester and AP Medical Writer Lauran Neergaard, and AP Chief Medical Writer Marilynn Marchione in Chicago contributed to this report.

Comments

[coastx]

05:57 PM on 04/09/2012

Coerced donation via occult rendition. The renditioned donor was Sierra Lamar.

[Craig Murphy]

05:01 PM on 03/29/2012

the heart should have gone to someone who could have used it!

[Toshtego]

12:05 PM on 03/28/2012

Best of luck on a speedy recovery. I look forward to your return to media attention and your usual pithy insights.

[FanciullaDiMiele]

06:51 PM on 03/27/2012

Why are all these people wishing a vicious greedy person with no pity, well? Can someone
answer that? Even Rachel Maddow? Why would anyone wish a villain well?

[shangrolah]

02:33 PM on 04/21/2012

Because it is the difference between them and someone like Cheney. Rachel Maddow is no Dick Cheney and thank god.

[FreedomMan]

06:50 PM on 03/27/2012

Too bad it is not going to be a real change of heart here.

[lovely09]

05:24 PM on 03/27/2012

One of my grandpa's had a series of heart problems that required him to have a transplant. I wish any person who needs a heart transplant the best.

I hope that the others waiting will be able to be as lucky as Cheney & find a good donor. They may not be well known, but they matter.

[Steve Cardi]

08:26 PM on 03/29/2012

Indeed, they do. God speed to your grandpa. My thoughts and prayers to you and your family.

[NapaNose]

05:23 PM on 03/27/2012

wow, I'm so encouraged by all the comments here. . . every single person is a better person than I. . .

[tpk]

08:06 PM on 03/27/2012

not really, the unfavorable comments never made it

[priceut]

10:02 PM on 03/26/2012

Best of health and wishes for a speedy recovery. Now is a good time to be quiet and rest up.

[paddlerchick]

07:57 AM on 03/27/2012

Exactly.

[jmbclyde]

06:32 PM on 03/26/2012

Godspeed Vice President Cheney !!!!! from a heart transplant recipient ..... and active Democrat

[Foday]

03:52 PM on 03/26/2012

First, I would wish him a speedy recovery and secondly, I trust he will truly appreciate this donation and not in the sense of of saying "thank you" but to rest and stop stressing himself. He is in his 70s and shouldn't let something stress him because behind that heart, when stressed, one can get heart attack. Focus on getting better Dick

[Razpooten]

09:57 PM on 03/26/2012

May your ticker keep ticking for a long time @ladywing.

[anitaroosevelt]

10:21 AM on 03/27/2012

That's what I thought. Thanks.

[sarasu]

02:39 PM on 03/26/2012

I hope the Cheney family realises how blessed & fortunate they are to have this opportunity.
I hope they can see their way clear to perhaps look at the healthcare debate & how it should be availible to all.....
Speedy recovery,Mr.Vice President.

[mes7]

12:50 PM on 03/26/2012

Now that VP Cheney has had his transplant cardiologists and other specialists are debating as to whom should qualify. Here is 2 very different examples mainly due to time frame as to when they were done.
Mr. Chaney is 71 and has had 5 heart attacks since the age of 37. Needless to say he has a long history of heart disease. He had to wait about 2 years for a match so they don't just grow on trees.
In 1995 when transplants weren't as common, but still fairly successful, Mickey Mantle, at the age of 62 was diagnosed with cirrhosis of the liver and liver cancer. There was a long history of cancer in the family as well as alcoholism. He had a liver transplant and just a few months later the cancer had spread and he had died in 1996.
It seems pretty obvious Mickey should have never had the transplant.
Only time will tell with VP Cheney. Did the names Cheney and Mantle come into play ? That is only speculation.
I do have to agree with some of the specialists though who say more scrutiny needs to be used with so few organs available.
No one wants to play God but some people obviously have a much better chance of long term survival than others. It sounds cold hearted to do it that but the way things are many could never afford it. I know the GOP won't help !

[Renee Johnson]

10:51 AM on 03/26/2012

I have never agreed with the man or his policies but wish he well in his recovery and Bless the donor and the family that is in mourning!!

[abbyj]

12:51 AM on 03/27/2012

Wow, Renee. You are SUCH a better person than I am. I totally commend you. Honestly.

[Toshtego]

12:07 PM on 03/28/2012

Finally, some maturity.