Partial kidney transplantation: a successful kidney transplantation in a child with severe cardiac failure by surgical mass reduction of an adult donor kidney.
We report on a trial of partial kidney transplantation performed on a low body weight child with impaired cardiac function due to mitral valve stenosis and uremic cardiomyopathy. The weight of the donated kidney was successfully reduced by one-third using bench surgery in order to obtain sufficient graft perfusion and function. Our procedure is justified when a graft is too large to be adequately perfused in a recipient suffering from cardiac failure.
Department of Urology, Tokyo Women's Medical College, Japan.
K
K
Takahashi
H
H
Kawaguchi
T
T
Yagisawa
K
K
Tanabe
H
H
Nakazawa
M
M
Hattori
H
H
Toma
K
K
Ito
T
T
Agishi
K
K
Ota
D000328:Adult; D001835:Body Weight; D002303:Cardiac Output, Low / Q000150:complications*; D002648:Child; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods*; D008946:Mitral Valve Stenosis / Q000150:complications; D009929:Organ Size; D014019:Tissue Donors