{"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":"<h2 class=\"wp-block-heading\">INTRODUCTION<\/h2>\n\n\n\n<p>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 candidates<sup>5<\/sup>.<\/p>\n\n\n\n<p>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 hypoperfusion<sup>2<\/sup><sup>,<\/sup><sup>4<\/sup>.<\/p>\n\n\n\n<p>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<p>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 Copacabana<sup>1<\/sup>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Case Report<\/h2>\n\n\n\n<p>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<p>After follow-up of the case, triple liver-cardiac-renal transplantation was indicated.<\/p>","protected":false},"excerpt":{"rendered":"<p>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 [&hellip;]<\/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":[],"modified_by":"Giovani","_links":{"self":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/4190"}],"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}]}}