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Need To Know > Fitness and health > Three children – aged 11, three, and two – saved with ONE donor heart in ultra-rare groundbreaking surgery
Three kids were saved in a historic triple transplant after one donor heart gave 11-year-old Hend a new heart and its valves saved two toddlers in critical need.
Fitness and health

Three children – aged 11, three, and two – saved with ONE donor heart in ultra-rare groundbreaking surgery

Paige Oldfield
Last updated: May 13, 2025 8:14 am
Paige Oldfield Published May 13, 2025
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Eleven-year-old, Hend Almesafri with two-year-old, John Catoliato (L) and three-year-old, Teddy Carter (R). (Jam Press/NewYork-Presbyterian’s Health Matters)
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Three children have been saved with one donor heart in a groundbreaking operation.

Eleven-year-old, Hend Almesafri, was fighting for her life after being diagnosed with a rare form of heart disease.

The condition left her heart muscles too weak to pump blood around her body.

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Meanwhile, three-year-old, Teddy Carter, and two-year-old, John Catoliato, were both critically ill and desperately awaiting valve replacements.

Three kids were saved in a historic triple transplant after one donor heart gave 11-year-old Hend a new heart and its valves saved two toddlers in critical need.
(L-R): Thomas Catoliato holding John alongside his wife, Joanne Dowling; and Katie Carter holding Teddy, alongside her husband, John Carter. (Jam Press/NewYork-Presbyterian’s Health Matters)

After seven anxious weeks in the hospital, Hend’s family finally got the call they’d been waiting for – a donor’s heart had been found.

Then, a miracle occurred.

Hend did not only survive her own transplant, but doctors found her original heart valves were so healthy they were able to save two more young lives, namely Teddy and John.

The two little boys are now “heart brothers”, reports Need To Know.

The rare procedure is known as a split-root domino heart transplant.

Pediatric cardiothoracic surgeon, Dr David Kalfa, who helped carry out the procedure, said: “This is a game-changer for these children.

“It really takes a village to accomplish a feat like this.

“It’s a multidisciplinary team working together with a passion and will to innovate.

“Seeing them now all together with their families is an incredible feeling and reminds us why we do this every day.”

Dozens of doctors, nurses and transplant specialists at NewYork-Presbyterian Morgan Stanley Children’s Hospital in New York City worked through the night in a back-to-back triple operation.

Three kids were saved in a historic triple transplant after one donor heart gave 11-year-old Hend a new heart and its valves saved two toddlers in critical need.
Two-year-old, John Catoliato. (Jam Press/NewYork-Presbyterian’s Health Matters)

Little John has been battling to live since birth.

Diagnosed with truncus arteriosus – a serious condition where there’s only one exit from the heart instead of two – he also had a hole in his heart.

His parents, Joanne and Thomas Catoliato, were forced to watch him endure multiple surgeries.

Thomas said: “Throughout a year and a half, John went into heart failure twice.

He got so sick that he almost died.

“He had been through way too much and it was a long road.

“We knew John was in the hands of a surgeon who truly cared about each patient.”

Teddy’s journey has also been harrowing.

Three kids were saved in a historic triple transplant after one donor heart gave 11-year-old Hend a new heart and its valves saved two toddlers in critical need.
Three-year-old, Teddy Carter. (Jam Press/NewYork-Presbyterian’s Health Matters)

Diagnosed with aortic stenosis at just two months old, his blocked heart valve caused blood to leak backwards.

An initial operation didn’t work and the family faced the terrifying reality that his heart was failing.

Mum, Katie, said: “We knew it was going to be tough but the more we talked to them about a potential split-root domino, the more we thought it was our destiny and a solution for Teddy to have a more normal childhood.

“That’s all we wanted.”

A donor’s heart became available for Hend on 24 July 2024.

Three kids were saved in a historic triple transplant after one donor heart gave 11-year-old Hend a new heart and its valves saved two toddlers in critical need.
Three-year-old, Teddy Carter, with his parents, Katie and John. (Jam Press/NewYork-Presbyterian’s Health Matters)

Within hours, the hospital was preparing for three transplants in a single day.

Hend received her new heart first, in an operation led by Dr Kalfa.

Then, her old heart’s pulmonary valve was carefully transplanted into John.

Finally, Teddy received his aortic valve.

Miraculously, all three surgeries were a success.

John and Teddy were discharged in just nine days and Hend was able to go home three weeks later.

John’s mum, Joanne, said: “He is so full of life and the littlest things make him happy.

Three kids were saved in a historic triple transplant after one donor heart gave 11-year-old Hend a new heart and its valves saved two toddlers in critical need.
Two-year-old, John Catoliato with his parents, Thomas and Joanne. (Jam Press/NewYork-Presbyterian’s Health Matters)

“A big weight has been lifted off our chest and we see a brighter horizon.”

The three children still receive regular check-ups as they continue to recover and their families remain closely connected.

Hend has even met the two boys whose lives were saved thanks to her old heart.

She said: “I feel amazing to see them healthy.

“It feels good to see the boys playing together.”

Teddy’s family marked his three-month milestone with a trip to Disney World.

His mum, Katie, said: “We had an incredible experience at NewYork-Presbyterian.

Three kids were saved in a historic triple transplant after one donor heart gave 11-year-old Hend a new heart and its valves saved two toddlers in critical need.
Three-year-old, Teddy Carter. (Jam Press/NewYork-Presbyterian’s Health Matters)

“You can’t even put into words how smart and kind these people are.

“Last time we were together, we were in a scary situation.

“We had sick children in hospital beds and today, they’re just happy, playing kids.

“That’s the best thing in the world.”

READ MORE: ‘I cut £250 a month takeaway habit to fund skinny jabs – now I’m SAVING money and look better than ever’

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