title: [Combined heart-kidney transplantation in Mexic].
abstract: BACKGROUND
  In our country, heart and kidney transplantation is a novel option for treatment of combined terminal heart and kidney failure. This program began in 2012 for selected patients with documented terminal heart failure and structural kidney damage with renal failure. Description of cases: Between January 1, 2012 and April 30, 2016, we made 92 orthotopic heart transplantations. In five of these cases the heart transplantation was combined with kidney transplantation.
  
  
  RESULTS
  There were three male and two female patients with a mean age 25.6 ± 5.2 years (range, 17-29). The patients improved their renal function and the heart transplantation was successful with an improved quality of life. One patient died from abdominal sepsis. The other patients are doing well.
  
  
  CONCLUSIONS
  The combined heart-kidney transplantation is a safe and efficient procedure for patients with structural kidney and heart damage as a cause of terminal failure.
authors.affiliation: Dirección General, Unidad Médica de Alta Especialidad, Hospital General Dr. Gaudencio González Garza, Centro Médico Nacional La Raza, Ciudad de México, México.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Careaga-Reyna
authors.affiliation: Clínica de Trasplante de Órganos Torácicos, Unidad Médica de Alta Especialidad, Hospital General Dr. Gaudencio González Garza, Centro Médico Nacional La Raza, Ciudad de México, México.
authors.forename: Hugo Jesús
authors.initials: HJ
authors.lastname: Zetina-Tun
authors.affiliation: División de Cirugía Cardiotorácica, Unidad Médica de Alta Especialidad, Hospital General Dr. Gaudencio González Garza, Centro Médico Nacional La Raza, Ciudad de México, México.
authors.forename: Carlos Alberto
authors.initials: CA
authors.lastname: Lezama-Urtecho
authors.affiliation: División de Trasplantes y Auxiliares de Diagnóstico, Unidad Médica de Alta Especialidad, Hospital General Dr. Gaudencio González Garza, Centro Médico Nacional La Raza, Ciudad de México, México.
authors.forename: José Mariano
authors.initials: JM
authors.lastname: Hernández-Domínguez
authors.affiliation: Departamento de Trasplantes, Unidad Médica de Alta Especialidad, Hospital General Dr. Gaudencio González Garza, Centro Médico Nacional La Raza, Ciudad de México, México.
authors.forename: Marlene
authors.initials: M
authors.lastname: Santos-Caballero
mesh_terms: D000293:Adolescent; D000328:Adult; D003131:Combined Modality Therapy / Q000379:methods; D005260:Female; D006333:Heart Failure / Q000601:surgery*; D016027:Heart Transplantation; D006801:Humans; D007674:Kidney Diseases / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D008800:Mexico; D011788:Quality of Life