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Improvement of cardiac function after kidney transplantation with dilated cardiomyopathy and long dialysis vintage

NDT Plus , Volume 2 (6) – Dec 1, 2009

Details

Publisher
Oxford University Press
Copyright
Copyright © 2009 Oxford University Press
Subject
Case Report
ISSN
1753-0784
eISSN
1753-0792
D.O.I.
10.1093/ndtplus/sfp110
Publisher site
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Improvement of cardiac function after kidney transplantation with dilated cardiomyopathy and long dialysis vintage

Abstract

Patients with long dialysis vintage have low cardiac output for various reasons. Although kidney transplantation is known to improve cardiac mortality, patients are sometimes evaluated as contraindicated for transplantation because of cardiac risk. We successfully performed kidney transplantation for a patient with a long dialysis vintage and dilated cardiomyopathy. Sequential 123 I-metaiodobenzylguanidine ( 123 I-MIBG) scintigraphy suggested that amelioration of uraemia improved cardiac function. Kidney transplantation for patients with severely impaired cardiac function is safe and effective under careful perioperative monitoring irrespective of dialysis vintage. Sequential 123 I-MIBG scintigraphy can be used as an evaluation tool for the improvement in cardiac function.
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