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Komagamine, M., Nishinaka, T., Ichihara, Y., Saito, S. and Niinami, H. (2020) Long-Term Clinical Outcomes of Cardiac Surgery for Kidney Transplant Patients. Annals of Thoracic and Cardiovascular Surgery, 26, 84-87.
https://doi.org/10.5761/atcs.oa.19-00192

has been cited by the following article:

• TITLE: Short- and Long-Term Outcomes of Cardiac Surgery in Kidney Transplant Recipients: A Review—Kidney Transplant and Cardiac Surgery

  AUTHORS: Nael Al-Sarraf

  KEYWORDS: Kidney Transplant, Cardiac Surgery, Graft Failure, Dialysis, Immunosuppression

  JOURNAL NAME: World Journal of Cardiovascular Surgery, Vol.13 No.12, December 28, 2023

  ABSTRACT: Background: Cardiovascular diseases remain the leading cause of death in kidney transplant patients and increasing proportion of these patients are referred to cardiac surgery. Data on short- and long-term outcomes of these patients are limited to single center reports with no randomized trials and no prospective studies published previously. The aim of this review was to report both short- and long-term outcomes of these patients. Methods: Literature review was conducted using three databases from inception to June 2022. Multiple search terms were used and limited to English language. Thirty-one relevant articles were included. Outcomes of interest were short-term mortality, long-term survival, renal allograft failure and infection in kidney transplant patients undergoing cardiac surgery. Results: Cardiac risk factors (diabetes mellitus, hypertension, hyperlipidemia) were prevalent in kidney transplant patients. 30-days mortality ranged across the studies from zero to 18.8%. The 1-year survival ranged from 71% - 97% and 5-years survival ranged from 31% - 95.7%. Commonest causes of death were cardiac and sepsis. Multiple predictors of mortality were reported. Postoperative acute kidney injury ranged from 0 - 74% with most of them being transient. Kidney graft failure ranged from 0 - 45% with 5-year kidney graft survival rates ranged between 37% - 80%. Post-operative infection rates ranged from 1% - 25% and the most common sites were pneumonia followed by septicemia and surgical site infections. Conclusion: Cardiac surgery can be performed in kidney transplant patients with good short- and long-term results.