Transplant

Overview

UofL Health –Trager Transplant Center

UofL Physicians’ transplant doctors are an integral part of the UofL Health – Trager Transplant Center, formerly UofL Health – Jewish Hospital Trager Transplant Center, which is one of the leading providers of organ transplantation in the country. We make it our mission to improve lives. Nationally recognized for performing Kentucky’s first adult heart, pancreas, heart-lung and liver transplant, our transplant team also was responsible for the first minimally invasive kidney donation in Kentucky.

UofL Physicians are part of collaborative multidisciplinary teams that includes surgeons, anesthesiologists, nurses, infectious disease specialists, researchers, rehabilitation consultants, social workers, dietitians, psychiatrists, pharmacists and financial coordinators, who all bring a unique set of skills to the table. We have one common goal: to help our patients and their families deal with both the challenges and new possibilities after a transplant.

UofL Health –Trager Transplant Center has been named a Federally Designated Medicare Heart, Lung, Kidney, Liver and Pancreas Transplant Center; an elite group approved to perform all five solid organ transplants and is a member of numerous national transplant networks.

Through the UofL Health – Trager Transplant Center, UofL Physicians offers a full spectrum of organ transplants for adults. In partnership with Norton Children’s Hospital, our physicians also serve children.

Recent Transplant Care Initiatives

We have also recently launched several initiatives to better serve patients across the region:

  • Opened an outreach clinic in Henderson, Kentucky to serve the Greater Evansville and Henderson communities. This is in addition to our outreach clinics in Bowling Green and Crestview Hills in Northern Kentucky.
  • Launched a Cirrhosis referral program to serve patients who are not yet able to meet criteria for liver transplantation.
  • Performed Kentucky’s first lung transplant using Ex Vivo Lung Perfusion (EVLP). EVLP is leading-edge technology that allows for an expansion of the lung donor pool that results in more patients receiving a life-saving transplant.
  • Launched a new protocol to offer liver transplantation for patients with cholangiocarcinoma. UofL Health – Trager Transplant Center is one of only two transplant centers in the region to offer this option for patients with this type of cancer.
  • Launched protocols for the use of Hepatitis C positive donor organs to Hepatitis C negative liver recipients and kidney recipients
  • Merger of the UofL Health – Jewish Hospital and UofL Hepatitis Clinics into one clinic located at the UofL Health – Ambulatory Care Building
  • Implementation of Telehealth Medicine in pre- and post-transplant medical, psychosocial and dietary management.
  • Collaboration with National Kidney Foundation, Kentucky chapter in providing living donor education for potential kidney transplant recipients via the Big Ask, Big Give Program (locally and in Bowling Green, KY).

We are committed to providing the highest level of transplant care and services to patients and their families in Kentucky and our region. Thank you for the trust you place in our program.

Whether you are looking for a program to deal with a specific disease, or awaiting a transplant, UofL Health – Trager Transplant Center has a caring team designed to walk you through the process, every step of the way.

UofL Health – Trager Transplant Center

Frazier Rehab Institute, 3rd Floor
220 Abraham Flexner Way
Louisville, KY 40202

For more information, contact UofL Health – Trager Transplant Center locally at 502-587-4939 or toll free at 1-800-866-7539.

Diseases & Conditions

Cardiac:

  • Advanced Heart Failure
  • Cardiomyopathy
  • Ischemic
  • Non-ischemic
  • Post-partum
  • Viral
  • Failure of previous heart transplant
  • Mechanical circulatory support (LVAD) as destination therapy or bridge to transplant
  • Congenital heart disease in adults
  • Amyloidosis
  • Pulmonary hypertension

Lung:

  • Interstitial lung disease
  • COPD
  • Severe bronchiectasis
  • Alpha-1-antitrypsin deficiency
  • Cystic fibrosis
  • Eisenmenger syndrome
  • Lymphangioleiomyomatosis
  • Pulmonary fibrosis
  • Pulmonary hypertension
  • Sarcoidosis

Kidney:

  • Acute kidney failure
  • Chronic kidney disease
  • Diabetes Mellitus
  • Polycystic kidney disease
  • Glomerulonephritis
  • Hemolytic uremic syndrome (HUS)
  • Calcineurin Inhibitor Nephrotoxicity
  • Focal segmental glomerulosclerosis (FSGS)

Liver:

  • Acute hepatitis
  • Acute liver failure
  • Alcoholic hepatitis
  • Amyloidosis
  • Autoimmune hepatitis
  • Biliary atresia
  • Cirrhosis
  • Hemochromatosis
  • Hepatitis B
  • Hepatitis C
  • Hepatopulmonary syndrome
  • Hyperoxaluria and oxalosis
  • Liver disease
  • Metabolic liver disease
  • Neuroendocrine tumors
  • Nonalcoholic steatohepatitis (NASH)
  • Primary biliary cholangitis
  • Primary sclerosing cholangitis

Pancreas:

  • Type 1 diabetes that cannot be controlled with standard treatment
  • Frequent insulin reactions
  • Consistently poor blood sugar control
  • Severe kidney damage
  • Type 2 diabetes associated with both low insulin resistance and low insulin production

Hand:

  • Injury to hand
  • Replacement of amputated hand

Treatments & Services

Advanced Heart Failure Therapies Program

Heart failure occurs when a heart is unable to keep up with the demands of the body, meaning the body’s demands on the heart outweigh the supply of blood to the body. As heart failure progresses, it causes the heart to weaken and eventually makes everyday activities like walking very difficult.

Early stages of heart failure can be managed with medication and a healthy lifestyle. The condition is considered “advanced” when conventional heart therapies are no longer effective. However, even at this stage, there are still treatment options.

At UofL Health – Trager Transplant Center – Advanced Heart Failure Clinic we diagnose heart failure (HF) and determine the best treatment path for each patient based on their individual case. Our clinic has experts in many different areas, including physicians, coordinators, nurses, pharmacists, dietitians and social workers, who come together to help make the process as effective and simple as possible.

We specialize in helping patients with advanced heart failure that are not responsive to standard medical treatment options, offer a comprehensive treatment approach, which includes medication, device implants such as ventricular assist devices (VADs) or heart transplantation (link to VAD and heart transplant pages respectively), and use advanced technology and are leaders in transplant research.

Learn more about heart failure from our partners at the American Heart Association.

To speak with our Heart Failure Therapies Program Coordinator, please call 502-587-4384.

Self-refer or Refer a Patient

If you are a patient and would like to self-refer yourself to our program or are a physician who would like to refer a patient, complete the advanced heart failure referral form.

 Clinic location

UofL Health – Rudd Heart and Lung Center
201 Abraham Flexner Way, Suite 1001
Louisville, KY 40202
502-587-4384 or 1-800-866-7539

Ventricular Assist Devices (VAD)

A ventricular assist device (VAD) is a blood pump for those with advanced heart failure that helps the heart send blood to the rest of the body. The device takes blood from a lower chamber of the heart and helps pump it to the body and vital organs, just as a healthy heart would.  A VAD may be used if one or both of the heart’s lower chambers, the ventricles, don’t work properly.

Surgery is required to implant the VAD, which can be placed inside or outside the body.

UofL Health – Trager Transplant Center – Advanced Heart Failure Therapies Program uses VADs as:

  • A bridge for patients while they wait for their heart transplant
  • Permanent support for those who are not candidates for a heart transplant
  • Temporary support to see if the heart will recover or heal itself before a transplant is considered

To find out more about VADs at UofL Health – Trager Transplant Center or the Advanced Heart Failure Therapies Clinic, call 502-587-4384 or 1-800-866-7539.

Heart Transplant

More than 6 million people suffer from heart failure with 500,000 new cases each year. More than 250,000 patients a year will die as a result of heart failure. UofL Physicians’ transplant experts understand the pain, struggles, and frustrations that affect people with heart disease, and those who care for them. We pursue advanced transplant research, develop new technologies, promote enhanced educational programs, and provide the finest pre-transplant and post-transplant patient care available in the region; all of which help decrease the mortality rates and provide life-saving options for individuals suffering from heart failure.

UofL Physicians performed the first adult heart transplant in Kentucky at UofL Health – Jewish Hospital in 1984. Since then nearly 500 heart transplants have been performed, thanks to our dedicated, expert multidisciplinary team approach.

To speak with our heart transplant coordinator, please call: 502-587-4384

Lung Transplant

For more than 15 years, our lung transplant program has given new hope to people of all ages. We perform lung transplants for the entire spectrum of respiratory diseases. UofL Physicians are part of the Lung Transplant program at UofL Health – Jewish Hospital. The first heart/lung transplant in Kentucky was performed in 1988 at UofL Health – UofL Health – Jewish Hospital, and the first double-lung transplant was performed in 1995. Patients dealing with end-stage lung disease have continually relied on the expertise of our multi-disciplinary team of transplant surgeons, pulmonologists, transplant coordinators, psychiatrists, social workers, financial coordinators, medical consultants and administrators who work closely with the operating room, critical care and medical-surgical units at UofL Health – UofL Health – Jewish Hospital to provide the highest standard of patient care.

Besides performing successful lung transplants, we pride ourselves on the special compassion we provide to the people we serve, with respect for the dignity of the patient and the loved ones who care for and struggle alongside them.

To speak with our lung transplant coordinator, please call: 502-587-4384

Kidney Transplant

UofL Physicians are an integral part of the Kidney Transplant Program at UofL Health – Trager Transplant Center, which provides the highest quality of care for patients in need of kidney transplantation. The first kidney transplant in Western Kentucky was performed at UofL Health – Jewish Hospital in 1964. Since that time, we have performed more than 2,500 kidney transplants and completed Kentucky’s first non-related living kidney donor transplant in 1994.

In 2019, the kidney transplant program performed nearly 100 kidney transplant procedures from both deceased and living donors. The kidney program performs living kidney donations via a minimally invasive, laparoscopic approach.

Our multidisciplinary team of experienced transplant experts works together to provide our patients and their families with the best care possible. We realize that patient care begins before you ever walk in our doors and continues past the time you are discharged. Thanks to a multi-disciplinary team, each patient is guaranteed the highest standard of care to meet individual needs. Our dedicated team of surgeons, nephrologists, nurse coordinators and social workers works closely with the patient from pre-transplant evaluations through post-transplant care.

In addition, UofL Physicians includes dedicated pediatric nephrologists who operate a first-rate kidney transplant program at Norton Children’s Hospital.

To speak with our kidney transplant coordinator, please call: 502-587-4384 or 1-800-866-7539

Liver Transplant

A liver transplant is an option when the liver can no longer perform vital functions and when the liver disease cannot be corrected in any other way. UofL Physicians are an integral part of the Liver Transplant Program at UofL Health – Trager Transplant Center.

Transplant surgeons, hepatologists, transplant coordinators, psychiatrists, social workers, nutritionists, financial coordinators, medical consultants and administrators work together to diagnose and manage liver diseases. Many patients in need of a liver transplant suffer from some form of liver cancer, often caused by cirrhosis and Hepatocellular Carcinoma (HCC). However, liver failure also can result from other diseases or, in rare cases, certain types of medications.  Our team has built a world-class transplant center with access to the latest techniques and technologies. From the time we are introduced to potential liver transplant patients and their families, through their transition to life outside the hospital, our focus is on easing that journey for all involved.

To speak with our liver transplant coordinator, please call: 502-587-4384 or 1-800-866-7539

Pancreas Transplant

A pancreas transplant is a surgical procedure to fix diabetes. Traditionally this has been performed only for type I diabetes. The Trager Transplant Center is the only center in Kentucky that also performs pancreas transplants for selected type II diabetics. Patients receiving a pancreas transplant can rest assured that our Transplant Team has their best interest at heart. From the beginning stages of determining if a transplant is right for you, to post-operative surgery, home care and support groups to get you back to your normal quality of life, we help you and your family navigate the emotional, logistical and financial concerns related to a transplant. Our multidisciplinary team is trained to not only find the treatments that are best for you but, also walk you through from beginning to end.

Our trained team of professionals recognizes your pancreas transplant is not simply a surgery, but rather a process for which to prepare, both physically and emotionally. Consultants will work closely with you through the entire process to ensure you stay healthy and strong as you await your transplant, educate you and help manage your fears and uncertainties associated with the procedure. And when it is over, our team is right there to provide you all the care needed for recovery, as well as resources to help you maintain your quality of life.

To speak with our pancreas transplant coordinator, please call: 502-587-4384 or 1-800-866-7539

The Gift of Life

In addition to transplantation, UofL Health – Trager Transplant Center is actively involved with efforts to increase awareness of the need for organ donation in collaboration with Kentucky Organ Donor Affiliates. Unfortunately, due to the lack of donated organs, many people never receive lifesaving transplants. Our transplant team encourages live donation, when appropriate.

Although you may never need a transplant, you can pass on the gift of life by registering to become an organ donor today. Register today!

Providers

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Dylan T. Adamson, M.D.

Specialty Areas: Transplant
Areas of Interest: Liver Transplant | Kidney Transplant | Pancreas Transplant | Hepatobiliary Surgery

Primary Practice Location

UofL Physicians – General Surgery
UofL Health - Chestnut Street Outpatient Center
401 East Chestnut Street, Suite 710
Louisville, KY 40202
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Mary Eng, M.D.

Specialty Areas: Transplant
Areas of Interest: Liver Transplant | Kidney Transplant | Pancreas Transplant | Access Surgery and General Surgery

Primary Practice Location

UofL Physicians – General Surgery
UofL Health - Chestnut Street Outpatient Center
401 East Chestnut Street, Suite 710
Louisville, KY 40202
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Christopher M. Jones, M.D.

Specialty Areas: Transplant
Areas of Interest: Laparoscopic Hepatobiliary Surgery | Laparoscopic Liver and Pancreatic Resections | Cholangiocarcinoma and Portal...

Primary Practice Location

UofL Physicians – General Surgery
UofL Health - Chestnut Street Outpatient Center
401 East Chestnut Street, Suite 710
Louisville, KY 40202
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Allan M. Ramirez, M.D.

Specialty Areas: Pulmonology | Transplant
Areas of Interest: Fibroproliferative Tissue Remodeling | Response in Fibrotic Lung Diseases | Lung Transplantation | Respiratory and...

Primary Practice Location

UofL Physicians – Pulmonary
UofL Health - Chestnut Street Outpatient Center
401 East Chestnut Street, Suite 690
Louisville, KY 40202
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Christina Dunbar Matos, D.O.

Specialty Areas: Cardiovascular Medicine | Transplant
Areas of Interest: Advanced Heart Failure | Cardiogenic Shock | Ventricular Assist Device | Heart Transplant

Primary Practice Location

UofL Health – Rudd Heart and Lung Center
201 Abraham Flexner Way, Suite 1200
Louisville, KY 40202

Locations & Contact

UofL Physicians – Transplantation Surgery

UofL Health - Jewish Hospital
200 Abraham Flexner Way, 3rd Floor
Louisville, KY 40202
Get Directions
Call Us (502-583-8303)

UofL Physicians – Transplantation Surgery

UofL Health - Frazier Rehab Institute
220 Abraham Flexner Way, 3rd Floor
Louisville, KY 40202
Get Directions
Call Us (502-583-8303)

Accepted Insurance

UofL Physicians participates in most major health plans in Kentucky. Coverage may vary by specialty. Coverage limitations are dependent on the terms of your personal health plan. This is not a guarantee that all services you receive will be covered by your health plan. Review your health plan provider directory and/or consult with your plan to confirm coverage.

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