Jurmann M J, Herrmann G, Frimpong-Boateng K, Frei U, Ringe B, Wahlers T, Fieguth H G, Coppola R, Heigel B, Haverich A
Klinik für Thorax-, Herz- und Gefässchirurgie, Medizinische Hochschule Hannover.
Dtsch Med Wochenschr. 1988 Nov 11;113(45):1757-60. doi: 10.1055/s-2008-1067884.
In a 38-year-old man combined heart and kidney transplantation was performed successfully in one operation. Both organs have functioned well postoperatively: the patient was discharged from hospital on the 19th postoperative day and has remained in functional class I (New York Heart Association) eight months later. Only two episodes of cardiac rejection have been observed during this period, responding to treatment, and there was no evidence of rejection of the kidney. Such combined heart-kidney transplantation from one donor seems to be a promising form of treatment for patients in end-stage myocardial and renal failure. The frequency of cardiac rejections my be lower after combined heart-kidney transplantation than after cardiac transplantation alone.
在一名38岁男性患者中，心脏和肾脏联合移植手术一次成功完成。术后两个器官功能良好：患者于术后第19天出院，八个月后心功能仍处于I级（纽约心脏协会分级）。在此期间仅观察到两次心脏排斥反应，经治疗有效，且无肾脏排斥迹象。这种来自同一供体的心脏-肾脏联合移植似乎是终末期心肌和肾衰竭患者一种有前景的治疗方式。心脏-肾脏联合移植后心脏排斥反应的发生率可能低于单纯心脏移植。
