| Autor: |
J M, Dubernard, P, Cloix, L C, Feitosa-Tajra, F, Borson-Chazot, B, Bancel, J, Baulieux, X, Martin |
| Jazyk: |
francouzština |
| Rok vydání: |
1996 |
| Předmět: |
|
| Zdroj: |
Chirurgie; memoires de l'Academie de chirurgie. 121(3) |
| ISSN: |
0001-4001 |
| Popis: |
Thirteen months after a bilateral nephrectomy for a synchronous bilateral renal cell carcinoma involving both adrenal glands, a 46 years-old man underwent a simultaneous adrenal and kidney allotransplantation. The left renal allograft was harvested together with a ipsilateral adrenal gland using a common aortic patch. Maintenance immunosuppression was based on azathioprine, antilymphocyte globulin cyclosporine and prednisolone. Kidney allograft function remained stable for 5 years until the patient died from multifocal pancreatic metastases. Clinical, biochemical, radiological and histological arguments demonstrated the function of adrenal allograft. To our knowledge, it is the first report of a simultaneous kidney and adrenal gland allotransplantation in a therapeutic intent. An adrenal gland allotransplantation is only justified when the adrenal insufficiency exists with an end stage organ failure requiring transplantation and therefore immunosuppressive drugs. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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