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Myocardial revascularization in renal transplant patients
Daniel de Souza Delgado1, Luís Roberto Gerola, Nelson Américo Hossne
1Escola Paulista de Medicina, Universidade Federal de São Paulo, Brazil.
Objective:
To assess the results of surgical myocardial revascularization in renal transplant patients.
Methods:
From 1991 to 2000, 11 renal transplant patients, whose ages ranged from 36 to 59 (47.5+/-8) years, 8 males and 3 females, underwent myocardial revascularization. The time interval between renal transplantation and myocardial revascularization ranged from 25 to 120 (mean of 63.8+/-32.7) months.
Results:
The in-hospital mortality rate was 9%. One patient died on the 4th postoperative day from septicemia and respiratory failure. The mean graft/patient ratio was 2.7+/-0.8. Only 1 patient required slow hemodialysis during 24 hours in the postoperative period, and no patient had a definitive renal lesion or lost the transplanted kidney. The actuarial survival curves after 1, 2, and 3 years were, respectively, 90.9%, 56.8%, and 56.8%.
Conclusion:
Renal transplant patients may undergo myocardial revascularization with no lesion in or loss of the transplanted kidney.