A Successful Combined Aortic and Mitral Valve Replacement after Renal Transplantation.
10.4326/jjcvs.31.422
- VernacularTitle:腎移植後患者に対する二弁置換術の1例
- Author:
Makoto Mohri
;
Takato Hata
;
Yoshimasa Tsushima
;
Mitsuaki Matsumoto
;
Hidenori Yoshitaka
;
Sohei Hamanaka
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2002;31(6):422-424
- CountryJapan
- Language:Japanese
-
Abstract:
A combined aortic and mitral valve replacement was performed in a 50-year-old man who had undergone living-related renal transplantation one year previously. The oral administration of tacrolimus was continued perioperatively while monitoring blood tacrolimus level. The postoperative administration of human atrial natriuretic peptide (hANP) was effective to maintain urine output was performed in addition to frosemide, mannitol, dopamin and prostaglandin E1 infusions. He was discharged on the 37th postoperative day without rejection, infection or renal dysfunction. This is the first report in Japan describing successful combined aortic and mitral valve replacement after renal transplantation.