title: Combined heart and kidney transplantation using the same donor.
abstract: A 45-year-old man received a combined heart and kidney transplant provided by the same donor. The patient was in the terminal stage of renal failure and was submitted to 3 sessions of haemodialysis per week for 2 years before transplantation. A dilated cardiomyopathy with severe impairment of left ventricular (LV) function was discovered, precluding renal transplantation alone. In the postoperative course, a cardiac rejection episode was detected by echocardiography and documented by endomyocardial biopsy; no simultaneous rejection of the kidney could be detected. The patient was discharged after 2 months, and he resumed a normal and active life. The specific problems raised by the management of such multi-organ transplantation are briefly reviewed.
authors.affiliation: Department of Thoracic and Cardiovascular Surger, Hospital Henry-Mondor, Creteil, France.
authors.forename: J P
authors.initials: JP
authors.lastname: Cachera
authors.forename: C
authors.initials: C
authors.lastname: Abbou
authors.forename: P
authors.initials: P
authors.lastname: Deleuze
authors.forename: M L
authors.initials: ML
authors.lastname: Hillion
authors.forename: D
authors.initials: D
authors.lastname: Loisance
authors.forename: P
authors.initials: P
authors.lastname: Romano
authors.forename: F
authors.initials: F
authors.lastname: Laurent
authors.forename: A
authors.initials: A
authors.lastname: Touzani
authors.forename: O
authors.initials: O
authors.lastname: Tavolaro
authors.forename: L
authors.initials: L
authors.lastname: Hittenger
mesh_terms: D002311:Cardiomyopathy, Dilated / Q000601:surgery; D006084:Graft Rejection; D016027:Heart Transplantation / Q000473:pathology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology; D014019:Tissue Donors