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Ann Thorac Surg 1994;58:1135-1138
© 1994 The Society of Thoracic Surgeons

Articles

Combined heart and kidney transplantation with allografts from the same donor

Carlos Blanche, MD*, Mario Valenza, MD, Lawrence S.C. Czer, MD, Peter Barath, MD, Dan Admon, MD, Deborah Harasty, RN, Caron Utley, RN, Alfredo Trento, MD

Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA

Accepted for publication March 15, 1994.

* Address reprint requests to Dr Blanche, Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Rm 6215, Los Angeles, CA 90048.

We present the cases of 3 patients who underwent simultaneous heart and kidney transplantation using allografts from the same donor. This combined approach offers a reasonable option for patients with coexisting end-stage heart and kidney disease. A review of all previously reported cases suggests that survival is similar to that of single-organ transplantation. In addition, there appears to be a low incidence of rejection when multiple allografts from the same donor are used. The heart and kidney can and frequently do reject asynchronously, so rejection monitoring and surveillance should be carried out separately for each transplanted organ.




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