Combined Heart and Kidney Transplantation: Initial Clinical Experience
ABSTRACT Introduction: Combined solid organ transplantation is infrequently performed in Brazil. The objective of this article is to present our initial experience with combined heart and kidney transplantation. Methods: From January 2007 to December 2019, four patients were submitted to combined heart and kidney transplantation. Their mean age was 55.7±4.4 years, and three (75%) patients were males. All patients had Chagas cardiomyopathy, two were hospitalized and inotrope dependent, and all patients were on preoperative dialysis (median of 12 months prior to transplant). Results: All patients survived and were in New York Heart Association functional class I at the latest follow-up (mean 34.7±17.5 months). Mean retarded kidney graft function was 22.9±9.7 days. One patient lost the kidney graft two years after the transplant due to Polyomavirus infection. Conclusion: Our initial experience of combined heart and kidney transplantation was favorable in selected patients with advanced heart failure and end-stage kidney disease. It requires involvement of a dedicated multispecialty team throughout all the diagnostics and treatment steps.
Main Authors: | Atik,Fernando Antibas, Borges,Carolina de Castro, Ulhoa,Marcelo Botelho, Chaves,Renato Bueno, Barzilai,Vitor Salvatore, Biondi,Rodrigo Santos, Almeida,Tiago Martins de, Medeiros,Isabela Novais, Cardoso,Helen Souto Siqueira |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Sociedade Brasileira de Cirurgia Cardiovascular
2022
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022000200263 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Similar Items
-
Experience of ECMO in Primary Graft Dysfunction after Orthotopic Heart Transplantation
by: Lima,Elson Borges, et al.
Published: (2015) -
COMBINED HEART-LIVER-KIDNEY TRANSPLANTATION: THE FIRST EXPERIENCE IN LATIN AMERICA
by: FERNANDES,Eduardo, et al.
Published: (2022) -
Left Ventricular Assist Device as a Bridge to Candidacy in End-stage Chagas Cardiomyopathy
by: Atik,Fernando Antibas, et al.
Published: (2018) -
Uso de oxigenação por membrana extracorpórea para tratamento de miocardiopatia aguda após transplante hepático: relato de caso
by: Biondi,Rodrigo Santos, et al.
Published: (2018) -
Addition of long-distance heart procurement promotes changes in heart transplant waiting list status
by: Atik,Fernando Antibas, et al.
Published: (2014)