| Autor: |
Fernando Antibas Atik, Carolina de Castro Borges, Marcelo Botelho Ulhoa, Renato Bueno Chaves, Vitor Salvatore Barzilai, Rodrigo Santos Biondi, Tiago Martins de Almeida, Isabela Novais Medeiros, Helen Souto Siqueira Cardoso |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Brazilian Journal of Cardiovascular Surgery, Vol 37, Iss 2, Pp 263-267 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
1678-9741 |
| DOI: |
10.21470/1678-9741-2020-0720 |
| Popis: |
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. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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