Renal Impairment an Impediment to Heart Transplantation?

Authors

  • Cédric Rafat APHP, Hôpital Tenon, Department of Renal Emergencies and Kidney Transplantation, Paris, France Author
  • Alexandre Hertig APHP, Hôpital Tenon, Department of Renal Emergencies and Kidney Transplantation; and Pierre and Marie Curie University, Sorbonne Universities ; Paris, France Author
  • Eric Rondeau APHP, Hôpital Tenon, Department of Renal Emergencies and Kidney Transplantation; and Pierre and Marie Curie University, Sorbonne Universities ; Paris, France Author

Abstract

Chronic kidney disease (CKD), especially when severe, is widely held as a contraindication to heart transplantation by many medical institutions. Given the widespread prevalence of CKD among heart transplant candidates, a nephrological assessment and management in potential heart transplant recipients is a key issue as renal impairment may potentially jeopardize the access of these patents to a life-saving procedure. Chronic heart and kidney diseases are intimately interconnected.  First, both conditions share a great number of etiological factors. Second, a steady stream of studies have highlighted the negative heart-kidney interaction in such a way that any acute or chronic dysfunction of the former may affect the latter- and reciprocally-, as part of the « cardiorenal syndromes ».

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Author Biographies

  • Cédric Rafat, APHP, Hôpital Tenon, Department of Renal Emergencies and Kidney Transplantation, Paris, France
  • Alexandre Hertig, APHP, Hôpital Tenon, Department of Renal Emergencies and Kidney Transplantation; and Pierre and Marie Curie University, Sorbonne Universities ; Paris, France
  • Eric Rondeau, APHP, Hôpital Tenon, Department of Renal Emergencies and Kidney Transplantation; and Pierre and Marie Curie University, Sorbonne Universities ; Paris, France

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Published

2015-04-07

Issue

Section

REVIEW | Kidney Diseases

How to Cite

Renal Impairment an Impediment to Heart Transplantation?. (2015). Iranian Journal of Kidney Diseases, 9(2), 77-83. https://ijkd.org/index.php/ijkd/article/view/2057