title: [Simultaneous heart valve implantation and coronary bypass following kidney transplantation].
abstract: The authors report simultaneous aortic valve replacement and coronary artery bypass grafting surgery successfully performed in a patient with functioning transplanted kidney. The patient's cardiac status was classified as NYHA class III. The indication of the cardiac operation was a heavily calcified, stenotic and insufficient aortic valve and severe coronary artery disease. Renal function and blood biochemistry tests did not show significant changes in the postoperative period. The patient was discharged on the 15. postoperative day after an uneventful postoperative period. He remained asymptotic for two and a half years after operation. His cardiac status judged by postoperative treadmill stress was NYHA class I. The outcome of this case in accordance with results found in the literature further confirms that, if the clinical indications are appropriate, a kidney transplant patient can survive and benefit from cardiac surgery. To our knowledge our patient has been the only one who has survived aortic valve replacement and double coronary artery bypass grafting after kidney transplantation, and this is the first case that has ever been reported in Hungary.
authors.affiliation: Zala Megyei Kórház Szívsebészeti Osztály, Haynal Imre Egészségtudományi Egyetem Szívsebészeti Tanszék, Zalaegerszeg.
authors.forename: N
authors.initials: N
authors.lastname: Alotti
authors.forename: G
authors.initials: G
authors.lastname: Nagy
authors.forename: L
authors.initials: L
authors.lastname: Bátfai
authors.forename: G
authors.initials: G
authors.lastname: Kecskés
authors.forename: L
authors.initials: L
authors.lastname: Papp
mesh_terms: D000328:Adult; D001021:Aortic Valve / Q000601:surgery*; D001026:Coronary Artery Bypass; D006350:Heart Valve Prosthesis; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation; D008297:Male; D013997:Time Factors
vernacular_title: Egy ülésben végzett mübillentyü implantáció és coronaria bypass mütét vesetranszplantáció után.