Dual transplant of marginal kidneys. Case report and review of the literature.
BACKGROUND
Double transplantation is one possible answer to the shortage of donor organs. While each donor kidney would be unsuitable when considered as a single allograft, use of both kidneys should provide sufficient nephron mass for effective glomerular filtration.


METHODS
This is the first Swiss report of a dual adult transplant of marginal kidneys in a 46-year-old man, who was transplanted for the fourth time. Follow-up at 6 months is excellent without acute rejection.


CONCLUSIONS
Recent analysis of dual marginal versus single ideal transplant outcomes, found a comparable 1-yr graft survival in both of the procedures. Long term results are still lacking and guidelines to decide between single, double or no transplantation are emerging.
Matter
M
M
Department of Visceral Surgery and Transplantation, Centre Hospitalier Universitaire Vaudois, Lausanne. maurice.matter@chuv.hospvd.ch
Venetz
J P
JP
Aubert
V
V
Gachet
C
C
Burnier
M
M
Barbey
F
F
D000367:Age Factors; D000368:Aged; D002102:Cadaver; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery*; D007677:Kidney Function Tests; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation / Q000379:methods; D012307:Risk Factors; D013557:Switzerland; D014019:Tissue Donors / Q000145:classification / Q000600:supply & distribution*; D020858:Tissue and Organ Harvesting / Q000379:methods*