Combined heart and kidney transplantation: one case report

Abstract

Objective To summarize the outcomes and clinical experience of combined heart and kidney transplantation. Methods The clinical data of one case of combined heart and kidney transplantation were retrospectively analyzed. The kidney transplant was completed immediately after the heart transplant. The immunosuppressive therapy strategies included tacrolimus, corticosteroids and mycophenolate mofetil. Results For heart transplantation, heart cold ischemia time was 200 min, aorta blocking time was 136 min, and extracorporeal circulation time was 201 min. The kidney was transplanted to the right iliac fossa after heart transplantation. The endotracheal tube was removed 15 h after surgery. The patient was transferred to the general ward on the 8th day after surgery. The patient was discharged from the hospital at 27th day after surgery, the renal function was normal and no activity was restricted. Conclusion Reasonable perioperative management and selection of surgical methods are the keys to the success of combined heart and kidney transplantation. Key words: Uremia; Heart transplantation; Kidney transplant