Kidney transplantation on extracorporeal life support for primary cardiac allograft dysfunction.

Autor: Pham AN; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida., Patel PC; Department of Transplantation, Mayo Clinic, Jacksonville, Florida., Landolfo K; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida., Burns JM; Department of Transplantation, Mayo Clinic, Jacksonville, Florida., Yip DS; Department of Transplantation, Mayo Clinic, Jacksonville, Florida., Leoni Moreno JC; Department of Transplantation, Mayo Clinic, Jacksonville, Florida., Goswami RM; Department of Transplantation, Mayo Clinic, Jacksonville, Florida., Jacob S; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida., El-Sayed Ahmed MM; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida., Makey IA; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida., Thomas M; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida., Mai ML; Department of Transplantation, Mayo Clinic, Jacksonville, Florida., Taner CB; Department of Transplantation, Mayo Clinic, Jacksonville, Florida., Pham SM; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida.
Jazyk: angličtina
Zdroj: Journal of cardiac surgery [J Card Surg] 2020 Mar; Vol. 35 (3), pp. 725-728. Date of Electronic Publication: 2020 Feb 04.
DOI: 10.1111/jocs.14451
Abstrakt: Patients undergoing heart-kidney transplants who have primary graft dysfunction (PGD) of the heart are at risk of losing both organs, which may cause reluctance on the part of the transplant team to proceed with transplanting the kidney while the transplanted heart is being supported by mechanical device. We describe a case series in which 2 patients received kidney transplants while on veno-arterial ECMO support for PGD after heart transplant. Both patients are alive more than 1 year following transplant, with good cardiac and renal function and no signs of cardiac rejection. Kidney transplant surgery is safe for patients on veno-arterial ECMO support for cardiac PGD. It allows the heart recipient to receive a kidney from the same donor with both immunologic and survival advantages.
(© 2020 Wiley Periodicals, Inc.)
Databáze: MEDLINE
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