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Combined heart and kidney transplantation: what is the appropriate surgical sequence?

Authors
  • Ruzza, Andrea
  • Czer, Lawrence S C
  • Trento, Alfredo
  • Esmailian, Fardad
Type
Published Article
Journal
Interactive Cardiovascular and Thoracic Surgery
Publisher
Oxford University Press
Publication Date
Aug 01, 2013
Volume
17
Issue
2
Pages
416–418
Identifiers
DOI: 10.1093/icvts/ivt172
PMID: 23615433
Source
Medline
Keywords
License
Unknown

Abstract

Combined heart and kidney transplantation is increasing in frequency but there are no guidelines to establish the indications, contraindications and sequence for this surgical procedure. We report our single-centre experience on 30 consecutive patients who underwent combined heart and kidney transplant in comparison with heart transplant alone. Patients had similar preoperative characteristics in both groups. Combined heart and kidney transplant is associated with the same long-term survival rate, low cellular rejection and antibody-mediated rejection rates when compared with heart transplant alone. We did not observe any difference in the outcomes related to preoperative patient characteristics. We suggest the staged surgical approach as the preferred method for transplant.

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