Successful Kidney Transplantation Alone With Severe Left Ventricular Systolic Dysfunction of Ejection Fraction 14%: A Case Report
| Autor: | Taichi Miyauchi, Hiroki Harada, Masayuki Nakagawa, Shuji Nagatomi, Hiroaki Nishimura, Saiki Saito, Masato Minami, Yasutoshi Yamada, Hideki Enokida, Tomoaki Ishihara, Yuichi Akasaki, Norihiko Goto, Shuichi Tatarano, Akihiko Mitsuke |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Transplantation medicine.medical_specialty Ejection fraction IgA Vasculitis business.industry Stroke Volume Stroke volume medicine.disease Kidney Transplantation Metabolic equivalent Uremia Ventricular Dysfunction Left Blood pressure Intensive care Internal medicine Cardiology Medicine Humans Kidney Failure Chronic Surgery business Severe left ventricular systolic dysfunction Kidney transplantation |
| Zdroj: | Transplantation proceedings. 52(6) |
| ISSN: | 1873-2623 |
| Popis: | It is well known that correction of uremia by kidney transplantation alone (KTA) improves left ventricular systolic dysfunction (LVSD). However, for kidney transplant candidates with extremely severe LVSD, KTA is considered to be contraindicated because of the high risk of peri-operative management. We report a case of successful kidney transplantation with severe LVSD with an ejection fraction (EF) of 14% and low systolic blood pressure (SBP) of approximately 65 to 80 mm Hg. In this case, in spite of an extremely low EF and SBP, functional capacity was assessed using metabolic equivalents (METs) and showed a level of almost 4. The operation was performed carefully, considering the cardiac, operative, and anesthetic risks. No surgical complications occurred, and the patient received intensive care during the peri-operative period. His postoperative course was almost favorable, and he was discharged on postoperative day 29. The present report concludes that evaluation of METs may expand the indication for KTA in patients with extremely severe LVSD. |
| Databáze: | OpenAIRE |
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