This Wednesday, Oct. 8, newlywed Lizzy Craze, 32, will go to work at her customer service job in the Silicon Valley. Then, shell probably squeeze in a run and have a nice dinner. Pretty normal stuff. But to those who know her, it wont be just another day. Instead, it will mark the 30th anniversary of her heart transplant at Stanford in 1984.
Lizzy Craze, now 32, after her heart transplant surgery in 1984. (Photo: Business Wire)
The day represents a milestone in the history of pediatric heart transplantation. Thats because Lizzy hasnt needed replacement of the donor heart during the 30 years its been beating in her chest. She is the only heart transplant recipient in America, and likely the world, to survive 30 years with the same donor heart she received as a toddler.
In 1984, I was only expected to survive with my new heart for five to 10 years, said Lizzy, whose family lost three children to familial dilated cardiomyopathy and whose surviving older brother also had a heart transplant.
1984 was a landmark year for pediatric heart transplantation. Though transplants had been performed in older children, that year marked the first series of small-child (under the age of 5) heart transplants at a handful of transplant centers, such as Stanford and Columbia. It was groundbreaking territory.
No one was sure back then if a donor heart would even grow if you put it in such a young child, said cardiologist Daniel Bernstein, MD, who guided Lizzys care throughout childhood at Lucile Packard Childrens Hospital Stanford and the Heart Transplant program.
The surgery, which some considered experimental, came at a dramatic moment. Lizzy was a few months shy of her third birthday when her heart was failing fast. A transplant was her only option.
She could not have been in better hands. The trailblazing surgery was led by the late Norman Shumway, MD, the father of American heart transplantation, who performed the first successful adult heart transplant in the United States in 1968 at Stanford. On Shumways team was Philip Oyer, MD, who is still active as a professor of cardiothoracic surgery at the Stanford University School of Medicine.
Lizzy was the youngest successful heart transplant recipient in America at the time of her transplant.
But many doctors assumed her new heart would need replacing at some point. Transplanted hearts can fail due to organ rejection or other complications; the other small children who received donor hearts in 1984 either died or eventually required another heart transplant.
Bernstein said he and his team had to do a lot of never-done-before tricks to manage Lizzys transplant. We even borrowed some techniques the kidney transplant doctors used. For example, we treated Lizzy every other day with steroids so she would grow. We also used the immunosuppressant cyclosporine, which had just been introduced. Later, as we learned more, we discovered that if you get past 10 years, your chance of living a long time with your originally transplanted heart increases. The bodys immune system adapts to the new heart better. (Lizzy needed a kidney transplant as a teenager due to the side effects of anti-rejection medicines.)
It hasnt hurt that Lizzy has been a model patient. I know the importance of taking my medications and being physically active, she said. True that her boyfriend and now husband, Jeff, proposed while they were backpacking in Yosemite last year, and on Oct. 5 she completed the RocknRoll Half-Marathon in San Jose.
But living 30 years with the originally transplanted heart? No one could have predicted the milestone. I think this case is a monument to what we still dont understand in the field of biology, said Bernstein, who is also a professor of pediatrics at the School of Medicine.
When she turned 18, Lizzy graduated from Lucile Packard Childrens Hospital to the adult heart transplant program at Stanford. That transition to a different care team can be difficult, said Sharon Hunt, MD, medical director of the Post-Heart Transplant Program at Stanford Health Care, and we put forth a major effort to make it as smooth as possible. In Lizzys case, this was easy because shes such an ideal patient. Hunt, professor of cardiovascular medicine at the School of Medicine, was at Stanford when the groundbreaking transplant occurred. Ive been able to watch her career and personal development, and its been fun.
Her story is truly inspiring, said Mary Burge, LCSW, a social worker at Stanford since 1980. Burge was there to help support parents Susan and Charles Craze when Lizzy had her transplant, and also in 1983 when Lizzys 16-year-old brother had his heart transplant. Burge still works with patients at Lucile Packard Childrens Hospital. When meeting new families who are devastated to learn their child will die without a transplant, theyre encouraged by the positive way Lizzy lives her life. And when I share photos of Lizzy, they see thats shes not shy about showing her scar. The pride and joy with which Lizzy lives her life provides tremendous hope for others.
Through it all, Lizzy and her family have never forgotten the power of organ donation. We are always mindful that, during a time of unbelievable grief, the family of a stranger gave me the gift of life, said Lizzy. We are forever thankful.
Lizzy pays it forward. She is a member of the Transplant Patient Advisory Council at Stanford Health Care and keeps track of heart transplant stories and patients around the world. I think its great for other heart transplant recipients to know that, like me, you can live a totally normal and long life, said Lizzy, who honeymooned in Africa this year. And in celebration of her anniversary, she is raising money and awareness for Donate Life California at http://bit.ly/1CEg24S.
But even though Lizzy has reached Wikipedia fame, shes still taking the anniversary in stride. There really are no big plans for Oct. 8. Of course, if you see her out for her regular run that day, shell be easy to spot. Thats because shell be wearing the custom T-shirt she displayed at the San Jose half-marathon. On the front? It reads, I had a change of heart at Stanford. On the back, heart transplant recipient 1984.
Only one person can wear that shirt.
About Stanford Childrens Health and Lucile Packard Childrens Hospital Stanford
Stanford Childrens Health, with Lucile Packard Childrens Hospital Stanford at its core, is an internationally recognized leader in world-class, nurturing care and extraordinary outcomes in every pediatric and obstetric specialty from the routine to rare, for every child and pregnant woman. Together with our Stanford Medicine physicians, nurses, and staff, we deliver this innovative care and research through partnerships, collaborations, outreach, specialty clinics and primary care practices at more than 100 locations in the U.S. western region. As a non-profit, we are committed to supporting our community from caring for uninsured or underinsured kids, homeless teens and pregnant moms, to helping re-establish school nurse positions in local schools. Learn more about our full range of preeminent programs and network of care at stanfordchildrens.org, and on our Healthier, Happy Lives blog. Join us on Facebook, Twitter, LinkedIn, and YouTube.
Lucile Packard Childrens Hospital Stanford is the heart of Stanford Childrens Health, and is one of the nations top hospitals for the care of children and expectant mothers. For a decade, we have received the highest specialty rankings of any Northern California childrens hospital, according to U.S. News & World Reports 2014-15 Best Childrens Hospitals survey, and are the only hospital in Northern California to receive the national 2013 Leapfrog Group Top Childrens Hospital award for quality and patient care safety. Discover more at stanfordchildrens.org.