| A Successful Combined Aortic
and Mitral Valve Replacement after Renal Transplantation |
(Department of Cardiovascular Surgery, Heart Center
Sakakibara Hospital, Okayama, Japan and Department of Cardiovascular
Surgery, Okayama University Graduate School of Medicine and Dentistry,
Okayama, Japan)
| Makoto Mohri* |
Takato Hata |
Yoshimasa Tsushima |
| Mitsuaki Matsumoto |
Hidenori Yoshitaka |
Sohei Hamanaka |
|
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.
Jpn. J. Cardiovasc. Surg. 31：422-424 (2002) |
|
