Transplantation of a cadaveric polycystic kidney in a patient with autosomal dominant polycystic kidney disease: long-term outcome.
BACKGROUND
Kidneys from donors affected by autosomal dominant polycystic kidney disease (ADPKD) were considered unusable for transplantation. To the best of our knowledge, seven cases worldwide have now been described in the English literature since 1967 suggesting such donor organs may be acceptable under certain conditions. Most of these reports have only short-term follow-up.


METHODS
We provide a review of these patients and share our experience with an ADPKD patient who had a cadaveric ADPKD transplant and has been closely followed for 10 years.


RESULTS
During the 10-year period, the patient had three transplant biopsies without complication. This creatinine is currently 1.2 mg/dL. Serial computed tomography imaging indicated that the cystic disease slowly progressed during this time period. He eventually developed intractable pain in his native left kidney and underwent a laparoscopic nephrectomy.


CONCLUSIONS
Normal functioning cadaveric kidneys that show early signs of polycystic kidney disease should be considered acceptable for renal donation. These organs provide the recipient a safe, reasonable period of graft survival and have not been shown to cause adverse effects.
Powell
C R
CR
Department of Urology, University of Illinois at Chicago, Chicago, Illinois, USA.
Tata
S
S
Govani
M V
MV
Chien
G W
GW
Orvieto
M A
MA
Shalhav
A L
AL
D001706:Biopsy; D002102:Cadaver; D006801:Humans; D016030:Kidney Transplantation / Q000473:pathology / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D007690:Polycystic Kidney Diseases / Q000601:surgery*; D016891:Polycystic Kidney, Autosomal Dominant / Q000601:surgery*; D013997:Time Factors; D014019:Tissue Donors; D016896:Treatment Outcome