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In 1988, a surgeon sewed a new heart into a cowboy. Nearly 31 years later, he did it again.

A father-son cardiothoracic surgeon duo—STS members Drs. Lyle and David Joyce—performed a lifesaving second heart transplant. The patient’s first donor heart—also sewed into place by Dr. Lyle Joyce—survived almost 31 years, believed to be the fourth-longest in the history of organ transplantation.

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