CLINICAL OUTCOME OF SIMULTANEOUS HEART AND KIDNEY TRANSPLANTANT FROM A SINGLE DONOR

B. Todurov; G. Kovtun; S. Chaikovska; A. Shpachuk; O. Polishchuk; O. Loskutov; S. Sudakevych

doi:10.34921/amj.2023.3.029

Authors

B. Todurov State Institution «Heart Institute of the Ministry of Health of Ukraine»
G. Kovtun State Institution «Heart Institute of the Ministry of Health of Ukraine»
S. Chaikovska State Institution «Heart Institute of the Ministry of Health of Ukraine»
A. Shpachuk State Institution «Heart Institute of the Ministry of Health of Ukraine»
O. Polishchuk State Institution «Heart Institute of the Ministry of Health of Ukraine»
O. Loskutov State Institution «Heart Institute of the Ministry of Health of Ukraine»
S. Sudakevych State Institution «Heart Institute of the Ministry of Health of Ukraine»

DOI:

https://doi.org/10.34921/amj.2023.3.029

Keywords:

simultaneous heart and kidney transplantation, multiorgan transplantation,

Abstract

The presented clinical case is the first experience of multi-organ transplantation in Ukraine. The surgery involved transplanting both a heart and a kidney into a 51-year-old patient with severe calcification of the mitral valve involving the posterior-lateral wall of the left ventricle, which is not amenable to surgical correction and end-stage chronic kidney disease, underwent orthotopic simultaneous heart and kidney transplantation. The early postoperative period was complicated by the development of acute renal failure of the transplant, which was corrected by courses of haemodialysis.
This clinical observation underscores the feasibility of simultaneous heart and kidney transplantation, offering promising short-term and long-term outcomes.