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European Journal of Cardio-Thoracic Surgery, Vol 3, 169-173, Copyright © 1989 by European Association for Cardio-thoracic Surgery

ARTICLES

Combined heart and kidney transplantation using the same donor

JP Cachera, C Abbou, P Deleuze, ML Hillion, D Loisance, P Romano, F Laurent, A Touzani, O Tavolaro and L Hittenger
Department of Thoracic and Cardiovascular Surger, Hospital Henry- Mondor, Creteil, France.

A 45-year-old man received a combined heart and kidney transplant provided by the same donor. The patient was in the terminal stage of renal failure and was submitted to 3 sessions of haemodialysis per week for 2 years before transplantation. A dilated cardiomyopathy with severe impairment of left ventricular (LV) function was discovered, precluding renal transplantation alone. In the postoperative course, a cardiac rejection episode was detected by echocardiography and documented by endomyocardial biopsy; no simultaneous rejection of the kidney could be detected. The patient was discharged after 2 months, and he resumed a normal and active life. The specific problems raised by the management of such multi-organ transplantation are briefly reviewed.


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Ten-year follow-up in patients with combined heart and kidney transplantation
J. Thorac. Cardiovasc. Surg., December 1, 2003; 126(6): 2065 - 2071.
[Abstract] [Full Text] [PDF]


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Copyright © 1989 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.