Living

TRANSPLANT BREAKTHROUGH RAISES HOPE IN NORTH TEXAS

Medical City performs first Texas operation using heart after cardiac death

By Josh Hickman

Special Contributor

It doesn’t take a theologian to see a transplanted human heart beating anew in a new chest as miraculous.

“There is always that moment,” said Dr. Brian Lima, describing a pivotal moment in the surgery. “Is this thing going to take off? I call it a mini-miracle every time.”

The demand for lifesaving hearts, sadly, of course, always outweighs the supply.

“Many patients become too sick and die waiting for a heart,” explained Lima, surgical director of heart transplantation and mechanical circulatory support at Medical City Dallas.

However, a recent milestone operation at Medical City Heart Hospital brings North Texas hope for a larger donor pool and shorter waiting times.

Until recently, transplants in the United States only used hearts from braindead donors whose other organs still functioned. That is changing.

“In recent years, we’ve devised ways to reanimate the heart to determine if it is usable and viable for transplant,” he said. “Organs such as the liver, the kidneys, and the lungs have for years been used for transplant this way, but up until now, the heart was never feasible.”

In December, Medical City performed what Lima called the first such donation after cardiac death (DCD) transplant in Texas.

The recipient, 50-year-old Yolanda Triplett, first went on the transplant list in 2014 after intense treatments for breast cancer damaged her heart.

“Only 24 hours after the transplant, the patient was off the ventilator and sitting in a chair,” Lima said of the remarkably resilient Triplett. “Her prognosis is wonderful. The heart is great, and she’s doing extremely well.”

In a press release from the hospital, Triplett expressed her gratitude for “this wonderful gift.”

“When I found out that I was getting a new heart, I was excited and nervous at the same time because I had waited so long for this,” she said. “I thought it would never come.”

According to the American College of Cardiology, the new procedure could increase the donor pool by 30%, matching an increase seen overseas.

“England has been doing this for at least five years,” Lima said.

The esteemed cardiac surgeon was drawn to North Texas by a clear cardiac health need – a population of eight million and growing with only three heart transplant programs.

“It’s probably one of the most underserved heart failure populations in the country,” he said. “I felt I could really make a difference and help get to more patients with this lifesaving therapy.”

The Medical City transplant team has performed more than 600 heart transplants since the program began in 1991, consistently ranking among the topperforming transplant centers across the country, according to the Scientific Registry of Transplant Recipients.

“I really think we’re going to continue to make strides to get lifesaving treatment to as many people as possible,” Lima said. “And there are a lot of them here in this area.”

FROM LEFT: Dr. Brian Lima, transplant patient Yolanda Triplett, and nurse Hailey Brooks. (PHOTO:

COURTESY MEDICAL CITY HEART HOSPITAL)

Mother, Daughter Make Linzer Tarts For All Kinds of Sweethearts

I always bake heart-shaped cookies to give to family and friends on Valentine’s Day. Over the years, I’ve come to realize this lovely time shouldn’t just be for sweethearts, but rather for all the special people in our lives.

CHRISTY ROST What better way to convey our feelings than to send Valentine cards and homemade cookies?

Maybe it’s because I have a February birthday, but I cannot resist purchasing packets of pretty Valentines as soon as they appear in stores. After all, who doesn’t love discovering a pink envelope in their mailbox on February 14?

One of my mentors, Julia Child, who launched the first Public Television cooking series and set the stage for those of us who would follow, never sent out Christmas cards but was famous for her creative Valentines.

Last year, we invited my 94-year-old mother to stay with us at Swan’s Nest for the winter. In early December, she accompanied us on our 14-hour drive from Dallas to Breckenridge, Colorado. As Valentine’s Day approached, I suggested she help me bake and decorate cookies as a surprise gift for her younger sister. We set aside a day to bake together, and it will always remain a precious memory for us both.

Early that morning, I set butter and eggs aside to come to room temperature and brought flour, sugar, and other ingredients from the pantry. Mom donned the cute gingerbread man apron I had sewn for her as a Christmas gift, and we got to work measuring, mixing, rolling, and cutting cookie dough, baking, and decorating cookies.

As we worked, I was deeply aware of the gift of mother and daughter baking together in my Swan’s Nest studio kitchen. It was warm and fragrant in the kitchen, while outdoors, it was a winter wonderland.

Mom and I baked Valentine’s sugar cookies, decorated with a thin layer of frosting and tinted sprinkles, but it was the Linzer Tarts that captured her heart. These two-layer, heart-shaped vanilla cookies, sandwiched together with strawberry or raspberry jam, are European favorites. A heart-shaped hole in the upper layer offers a window to the sweet jam, and a dusting of

In February 2021, Christy Rost enjoyed making cookies with her 94-year-old mom Jinx Schnoes,

now 95. (PHOTOS: COURTESY CHRISTY ROST)

confectioners’ sugar provides the finishing touch. Linzer Tarts are a sweetheart of a gift for friends and neighbors when tucked into transparent cellophane sacks tied with red ribbon, and they ship well without crumbling. Happy Valentine’s Day!

Christy Rost, a cookbook author and PBS chef, is a longtime resident of the Park Cities and Preston Hollow. Her ‘Celebrating Home’ 4-minute cooking videos are available at youtube.com/ChristyRostCooks and christyrost.com.

LINZER TARTS Ingredients:

1 cup unsalted butter, softened 1 ¼ cups sifted confectioners’ sugar 2 eggs, at room temperature 1 teaspoon vanilla 3 cups flour 1 teaspoon salt 1 teaspoon baking powder ¼ cup toasted slivered almonds ½ cup seedless raspberry jam

Confectioners’ sugar, for garnish

Directions:

Preheat the oven to 350 degrees. Spread the almonds on a baking sheet and toast them in the oven 3 to 5 minutes, or until they are fragrant and light brown. Remove them from the oven, transfer them to a plate, and cool completely. When they are cool, place the almonds in a small food processor or coffee grinder, and process just until they are finely ground.

In the large bowl of an electric mixer, cream butter with confectioners’ sugar until the mixture is light and fluffy, about 8 minutes. Add eggs one at a time, beat well, and stir in vanilla.

In a medium bowl, stir together flour, salt, baking powder, and ground almonds. Stir the flour mixture into the creamed mixture to form a soft dough. Cover with plastic wrap and chill 2 hours or overnight.

Preheat the oven to 375 degrees. Roll out cookie dough on a floured pastry cloth or counter to ¼-inch thickness. Cut with a 3-inch heartshaped cookie cutter dipped in flour, and place cookies on ungreased cookie sheets. Cut the centers out of half the cookies using a 1-inch heart-shaped cookie cutter.

Bake 6 to 7 minutes or until the edges of the cookies are light brown. Remove them from the oven and transfer them to a wire rack to cool. When the cookies are completely cool, spread the solid ones with raspberry jam, slightly mounding it in the center of each cookie, and top with the remaining cookies. Sift lightly with confectioners’ sugar, which will melt over the jam, leaving a glossy center. Yield: 22 to 24 cookies