Transplantation coeur-rein du meme donneur apres echec d'une premiere transplantation renale sur un rejet chronique. [Heart-kidney transplantation of the same donor following failure of a first renal transplantation due to chronic rejection]

Détails

ID Serval
serval:BIB_8E3BD33FACF0
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Transplantation coeur-rein du meme donneur apres echec d'une premiere transplantation renale sur un rejet chronique. [Heart-kidney transplantation of the same donor following failure of a first renal transplantation due to chronic rejection]
Périodique
Schweizerische Medizinische Wochenschrift
Auteur⸱e⸱s
Seydoux  C., Gillard Berguer  D., Wauters  J. P., Mosimann  F., Stumpe  F., Hurni  M., Ruchat  P., Aubert  V., Sadeghi  H., Goy  J. J.
ISSN
0036-7672 (Print)
Statut éditorial
Publié
Date de publication
12/1996
Volume
126
Numéro
50
Pages
2181-3
Notes
Case Reports
English Abstract
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Dec 14
Résumé
Combined heart and renal transplantation from the same donor is an uncommon procedure. We describe the case of a patient with prior kidney transplantation whose renal graft had to be removed a few years later because of chronic rejection. The patient then developed severe hypertensive and ischemic left ventricular dysfunction. Combined heart and kidney transplantation was performed several years after the first renal transplantation. This observation is the first description of a combined heart and kidney transplantation after removal of a former renal graft whose failure was due to chronic rejection. Great care was taken to avoid identical MHC antigens (HLA-A; -B; -DR) between the two donors, to prevent recurrent rejection of the grafted organs. After 18 months, no rejection was detected in either organ. This case report confirms the feasibility of this complex procedure, provided care is taken to avoid identical HLA groups between the two donors so as to reduce immunological complications.
Mots-clé
Adult Coronary Disease/complications/*surgery Graft Rejection Heart Failure, Congestive/etiology/surgery Heart Transplantation/*methods Humans Hypertension, Renal/complications/surgery Kidney Failure, Chronic/*surgery Kidney Transplantation/*methods Male
Pubmed
Web of science
Création de la notice
28/01/2008 10:11
Dernière modification de la notice
20/08/2019 14:52
Données d'usage