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. 31F422-424 (2002)