Living related renal transplantation for end-stage renal disease after liver transplantation from a brain-dead donor.
We report a case in which a living related renal transplantation was successfully performed for end-stage renal disease that had progressed after a liver transplantation from a brain-dead donor for liver cirrhosis associated with type C hepatitis. Because the transplanted liver function had been excellent with the use of tacrolimus and mycophenolate mofetil, the same immunosuppressive agents with prednisolone were employed for the renal transplantation. Both grafts are functioning well without recurrence of hepatitis at 10 months after the renal transplantation. From our experience, renal transplantation should not be contraindicated even if the patient has undergone liver transplantation or has hepatitis C viral infection.
Kobayashi
Takashi
T
Department of Urology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Okuno
Hiroshi
H
Tachibana
Mitsuhiro
M
Mori
Noriko
N
Yoshida
Hiroshi
H
Yamamoto
Shingo
S
Kamoto
Toshiyuki
T
Terai
Akito
A
Ogawa
Osamu
O
D019698:Hepatitis C, Chronic / Q000150:complications; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods*; D008103:Liver Cirrhosis / Q000209:etiology / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D035781:Siblings; D014019:Tissue Donors; D016896:Treatment Outcome