Blanche C, Valenza M, Czer L S, Barath P, Admon D, Harasty D, Utley C, Trento A
Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California 90048.
Ann Thorac Surg. 1994 Oct;58(4):1135-8. doi: 10.1016/0003-4975(94)90472-3.
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.
我们报告了3例接受来自同一供体的同种异体移植物进行心脏和肾脏同时移植的患者病例。这种联合方法为患有终末期心脏和肾脏疾病的患者提供了一种合理的选择。对所有先前报道病例的回顾表明，其生存率与单器官移植相似。此外，当使用来自同一供体的多个同种异体移植物时，排斥反应的发生率似乎较低。心脏和肾脏能够且经常异步排斥，因此应对每个移植器官分别进行排斥反应监测和监视。
