Multiple reports of successful combined heart and kidney transplants adults suggest that this may be a viable option for a small subset of patients with coexisting end-stage heart and kidney failure. A review of the literature, however, reveals that few combined heart and kidney transplants have been reported in children. This article presents the case of a 13-year-old boy who underwent unsuccessful palliative surgery for a congenital heart defect. The patient developed heart failure with subsequent acute renal failure, and ultimately required a combined heart and kidney transplant. The combined procedure was successful in this patient and he is alive and well 27 months postoperatively.
Get full access to this article
View all access options for this article.
References
1.
NormanJCCooleyDAKahanBD. Combined heart and kidney transplantation: A case report. Lancet.1978;1:1125–1127.
2.
FaggianGBartolottiUStellinG. Combined heart and kidney transplantation: A case report. J Heart Transplant.1986;5:480–483.
3.
JurmannMJHerrmanGFrimpong-BoatengK. Kombinierte Transplantation von Herz und Niere bei Terminaler Myokardialer und Renaler Insuffiezienz. Dtsch Med Wochenschr.1988;113:1757–1760.
4.
CacheraJPAbbouCDeleuzeP. Combined heart and kidney transplantation using the same donor. Eur J Cardiothorac Surg.1989;3:169–174.
5.
GuillemainRFargeDDreyfusG. Successful combined heart and kidney transplantation for ischemic heart disease in polycystic kidney disease. Transplant Proc.1990;22:1466–1467.
6.
BahnsonHTGordonRD. Transplantation of other organs with the heart. Cardiovasc Clin.1990;20:237–248.
7.
WarwickGLBoulton-JonesJMAllisonMEMCobbeSMEnglishTAH. Combined renal and cardiac transplantation for severe left ventricular dysfunction in end stage renal failure. Scot Med J.1991;36:52–54.
8.
GonwaTAHusbergBSKlintmalmGB. Successful simultaneous heart and kidney transplantation: A report of three cases and review of the literature. J Heart Lung Transplant.1992;11(1):152–155.
9.
LlorensRDavalosGIndaburaD. Use of biventricular circulatory support as bridge to simultaneous heart and kidney. Eur J Cardiothorac Surg.1993;7:96–100.
10.
CacheraJPBenvenutiCDeleuzeP. Transplantations cardiaques et renales simultanees utilisant le meme donneur. Bull Acad Natl Med.1993;177:35–42.
11.
SavdieEKeoghAMMacdonaldPS. Simultaneous transplantation of the heart and kidney. Aust N Z J Med.1994;24:554–560.
12.
BlancheCValenzaMCzerLSC. Combined heart and kidney transplantation with allografts from the same donor. Ann Thorac Surg.1994;58:1135–1138.
13.
BenvenutiCBourgeonBChopinD. Combined heart and kidney transplantation. Transplant Proc.1995;27:1694.
14.
NarulaJBennettLEDiSalvoTHosenpudJDSemigranMJDecGW. Outcomes in recipients of combined heart-kidney transplantation. Transplantation.1997;63:861–867.
15.
ColucciVQuainiEMagnaniP. Combined heart and kidney transplantation: An effective therapeutic option, report of six cases. Eur J Cardiothorac Surg.1997;12:654–658.
16.
ColVJJacquetLSquiffletJP. Combined heart-kidney transplantation: Report on six cases. Nephrol Dial Transplant.1998;13:723–727.
17.
MatteucciMCStrologoLDParisiF. Combined heart and kidney transplantation in a child: Will we need it more in the future?Transplantation.1997;63:1531–1533.
18.
LiveseySARollesKCalneRWallworkJEnglishTAH. Successful simultaneous heart and kidney transplantation using the same donor. Clin Transplant.1988;2:1–4.
19.
ParkMK. Pediatric Cardiology for Practitioners.2nd ed.Chicago, Ill: Yearbook Medical Publishers; 1993.
20.
RubayJEShangoPClementS. Ross procedure in congenital patients: Results and left ventricular function. Eur J Cardiothoracic Surg.1997;1:92–99.
21.
ElkinsRC. The Ross operation: Applications to children. Sem Thorac Cardiovasc Surg.1996;8:345–349.
22.
JoyceFTingleffJPetterrsonG. Changing indications for the Ross operation. Sem Thorac Cardiovasc Surg.1996;8:336–344.
23.
MeloJQAbecasisMNevesJP. What are the limits for the Ross operation?Cardiovasc Surg.1996;4:526–529.
24.
ReddyVMMcElhinneyDBHanleyFL. The Ross procedure in children. Isr J Med Sci.1996;32:888–891.
25.
SmithJARibakoveGHHuntSA. Heart retransplantation: The 25-year experience at a single institution. J Heart Transplant.1995;14:832–839.
