Myocardial revascularization in renal transplant patients.
OBJECTIVE
To assess the results of surgical myocardial revascularization in renal transplant patients.


METHODS
From 1991 to 2000, 11 renal transplant patients, whose ages ranged from 36 to 59 (47.5+/-8) years, 8 males and 3 females, underwent myocardial revascularization. The time interval between renal transplantation and myocardial revascularization ranged from 25 to 120 (mean of 63.8+/-32.7) months.


RESULTS
The in-hospital mortality rate was 9%. One patient died on the 4th postoperative day from septicemia and respiratory failure. The mean graft/patient ratio was 2.7+/-0.8. Only 1 patient required slow hemodialysis during 24 hours in the postoperative period, and no patient had a definitive renal lesion or lost the transplanted kidney. The actuarial survival curves after 1, 2, and 3 years were, respectively, 90.9%, 56.8%, and 56.8%.


CONCLUSIONS
Renal transplant patients may undergo myocardial revascularization with no lesion in or loss of the transplanted kidney.
de Souza Delgado
Daniel
D
Escola Paulista de Medicina, Universidade Federal de São Paulo, Brazil.
Gerola
Luís Roberto
LR
Hossne
Nelson Américo
NA
Branco
João Nelson R
JN
Buffolo
Enio
E
D000328:Adult; D002303:Cardiac Output, Low / Q000209:etiology / Q000601:surgery; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D009204:Myocardial Revascularization / Q000401:mortality; D006435:Renal Dialysis; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome