{"id":4190,"date":"2022-06-24T16:29:00","date_gmt":"2022-06-24T19:29:00","guid":{"rendered":"https:\/\/revistaabcd.org.br\/?p=4190"},"modified":"2022-10-18T16:35:01","modified_gmt":"2022-10-18T19:35:01","slug":"combined-heart-liver-kidney-transplantation-the-first-experience-in-latin-america","status":"publish","type":"post","link":"https:\/\/revistaabcd.org.br\/pt-br\/combined-heart-liver-kidney-transplantation-the-first-experience-in-latin-america\/","title":{"rendered":"COMBINED HEART-LIVER-KIDNEY TRANSPLANTATION: THE FIRST EXPERIENCE IN LATIN AMERICA"},"content":{"rendered":"

INTRODUCTION<\/h2>\n\n\n\n

Multiorgan dysfunction involving the liver and kidneys is common in patients with end-stage heart failure. The first combined liver-kidney transplant (CLKT) was performed by Margreiter in 1983, and it is a routine procedure in many transplant centers representing 1-8% of liver transplant candidates5<\/sup>.<\/p>\n\n\n\n

Hepatic and renal dysfunction may be secondary to a systemic disease process affecting the heart, liver, and kidneys or may be a consequence of heart failure with venous congestion and arterial hypoperfusion2<\/sup>,<\/sup>4<\/sup>.<\/p>\n\n\n\n

Despite the complexity and costs involved, the results of this type of transplant are optimistic, as these are terminally ill patients.<\/p>\n\n\n\n

Our objective was to report the first Latin American experience in triple transplantation in the same surgical time (heart, liver, and kidney), which took place at Hospital S\u00e3o Lucas Copacabana1<\/sup>.<\/p>\n\n\n\n

Case Report<\/h2>\n\n\n\n

The organ receiver was a 56-year-old male, physical education teacher, diagnosed with dilated cardiomyopathy with biventricular dysfunction of undetermined origin and compensated cirrhosis of probable cardiogenic etiology diagnosed in 2018 during a cholecystectomy. Chronic kidney disease was due to cardiorenal syndrome.<\/p>\n\n\n\n

After follow-up of the case, triple liver-cardiac-renal transplantation was indicated.<\/p>","protected":false},"excerpt":{"rendered":"

INTRODUCTION Multiorgan dysfunction involving the liver and kidneys is common in patients with end-stage heart failure. The first combined liver-kidney transplant (CLKT) was performed by Margreiter in 1983, and it is a routine procedure in many transplant centers representing 1-8% of liver transplant candidates5. Hepatic and renal dysfunction may be secondary to a systemic disease […]<\/p>","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[10],"tags":[1157,1158,82,245],"class_list":["post-4190","post","type-post","status-publish","format-standard","hentry","category-letter-to-the-editor","tag-heart-transplantation","tag-kidney-transplantation","tag-liver-transplantation","tag-transplants"],"acf":{"authors":[{"author_name":"Eduardo FERNANDES","orcid_id":"http:\/\/orcid.org\/0000-0003-1304-5075"},{"author_name":"Filipe Roza da SILVA","orcid_id":"http:\/\/orcid.org\/0000-0003-3736-4193"},{"author_name":"Rodrigo SEGALOTE","orcid_id":"http:\/\/orcid.org\/0000-0002-1369-0245"},{"author_name":"Pedro T\u00falio ROCHA","orcid_id":"http:\/\/orcid.org\/0000-0003-0259-2647"},{"author_name":"Felipe MELLO","orcid_id":"http:\/\/orcid.org\/0000-0001-5125-7621"},{"author_name":"Camila GIR\u00c3O","orcid_id":"http:\/\/orcid.org\/0000-0002-4392-6079"},{"author_name":"Ronaldo OLIVEIRA","orcid_id":"http:\/\/orcid.org\/0000-0001-5022-1934"},{"author_name":"Leandro SAVATTONE","orcid_id":"http:\/\/orcid.org\/0000-0001-6590-0438"},{"author_name":"Camila CESAR","orcid_id":"http:\/\/orcid.org\/0000-0003-2675-5201"},{"author_name":"Munique SIQUEIRA","orcid_id":"http:\/\/orcid.org\/0000-0002-4835-839X"},{"author_name":"Adolpho BAAMONDE","orcid_id":"http:\/\/orcid.org\/0000-0002-1113-8174"},{"author_name":"Gabrielle OLIVEIRA","orcid_id":"http:\/\/orcid.org\/0000-0002-1040-5541"},{"author_name":"Rodrigo FURTADO","orcid_id":"http:\/\/orcid.org\/0000-0002-0003-4951"},{"author_name":"Thays RIBEIRO","orcid_id":"http:\/\/orcid.org\/0000-0002-9604-5697"},{"author_name":"Carlos GALHARDO","orcid_id":"http:\/\/orcid.org\/0000-0001-8358-183X"},{"author_name":"Camila TOBIAS","orcid_id":"http:\/\/orcid.org\/0000-0002-3379-501X"},{"author_name":"Gabriel MOURAD","orcid_id":"http:\/\/orcid.org\/0000-0002-9389-0107"},{"author_name":"Felipe ROBALINHO","orcid_id":"http:\/\/orcid.org\/0000-0001-5011-3175"},{"author_name":"Anderson BRITO","orcid_id":"http:\/\/orcid.org\/0000-0002-3720-4387"}],"doi":"10.1590\/0102-672020210002e1668","buttons":{"pdf_-_en":4191,"pdf_-_pt":"","external_link":"https:\/\/www.scielo.br\/j\/abcd\/a\/4xSbnX77D4g5RNrFwsvGNXp\/?lang=en","external_link_pt":"","full_text":"","jats_xml":""},"volume_and_issue":{"article-volume":"2022 - vol. 35","article-issue":"Issue 1"}},"modified_by":"Giovani","_links":{"self":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/4190","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/comments?post=4190"}],"version-history":[{"count":0,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/4190\/revisions"}],"wp:attachment":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/media?parent=4190"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/categories?post=4190"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/tags?post=4190"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}