Aortic Valve Reconstruction（AVrC）Using Autologous Pericardium for a Patient with Severe Aortic Stenosis and Chronic Renal Failure Prior to Kidney Transplant Surgery

Keisuke Watadani	Naomichi Uchida	Keijiro Katayama
Shinya Takahashi	Taiichi Takasaki	Tatsuya Kurosaki
Katsuhiko Imai and Taijiro Sueda

（Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima, Japan）

We performed aortic valve reconstruction（AVrC）using autologous pericardium for a patient with severe aortic stenosis and chronic renal failure, prior to kidney transplantation. The patient received kidney transplantation in the early phase after cardiac surgery. The case was a 61-year-old man with severe aortic valve stenosis who received dialysis due to chronic renal failure. We performed AVrC using autologous pericardium for the following reasons. Anticoagulant therapy is not desirable because of the need to perform kidney transplantation in the early phase after cardiac surgery. Implantation of prosthesis was not desirable because the patient requires oral immunosuppression therapy after kidney transplantation. There was no significant postoperative pressure gradient of the aortic valve orifice or aortic valve regurgitation（AR). The patient received kidney transplantation 113 days after surgery. AVrC using autologous pericardium was feasible for aortic stenosis patients in a patient waiting to receive kidney transplantation because anticoagulation therapy is not necessary after AVrC.

　

Jpn. J. Cardiovasc. Surg. 43:92-95（2014）

Keywords：aortic valve stenosis;aortic valve replacement;aortic valve reconstruction;dialysis; kidney transplantation