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Tran Ba SN, Lidove O, Dorent R, Debauchez M, Nataf P, Delahousse M, Karras A, Azeroual L, De Lentdecker P, Chauveheid MP, Sené T, Ziza JM. [Combined heart and kidney transplantation in Fabry's disease: Long-term outcomes in two patients]. Rev Med Interne 2016; 38:137-142. [PMID: 27241078 DOI: 10.1016/j.revmed.2016.03.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2015] [Revised: 02/09/2016] [Accepted: 03/19/2016] [Indexed: 10/21/2022]
Abstract
INTRODUCTION Fabry disease is a lysosomal storage disorder linked to an alpha-galactosidase A deficiency that can lead to heart and kidney failure. There is little data about the prognosis of patients who undergo a combined heart and kidney transplantation. CASE REPORTS Two brothers who were diagnosed with Fabry disease after the age of 30 years underwent a combined heart and kidney transplantation at respectively 49 and 42 years of age because of a severe hypertrophic cardiomyopathy with end stage renal failure. They are alive respectively 4 and 9 years after the transplantation. No recurrence of the disease in the transplanted organs has been found. CONCLUSION Combined heart and kidney transplantation in Fabry disease is an efficient therapy for the cardiomyopathy and kidney failure. Its prognosis can be good when the patients are carefully selected. However, an early diagnosis is critical in order to avoid a procedure associated with a high perioperative mortality.
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Affiliation(s)
- S-N Tran Ba
- Service de médecine interne-rhumatologie, hôpital de la Croix-Saint-Simon, 125, rue d'Avron, 75020 Paris, France
| | - O Lidove
- Service de médecine interne-rhumatologie, hôpital de la Croix-Saint-Simon, 125, rue d'Avron, 75020 Paris, France; Centre de référence des maladies lysosomales, site Avron, 125, rue d'Avron, 75020 Paris, France.
| | - R Dorent
- Chirurgie cardiaque, hôpital Bichat-Claude-Bernard, Paris, France
| | - M Debauchez
- Chirurgie cardiaque, institut mutualiste Montsouris, Paris, France
| | - P Nataf
- Chirurgie cardiaque, hôpital Bichat-Claude-Bernard, Paris, France
| | | | - A Karras
- Néphrologie, HEGP, 20, rue Leblanc, 75015 Paris, France
| | - L Azeroual
- Néphrologie, hôpital Bichat-Claude-Bernard, Paris, France
| | | | - M P Chauveheid
- Médecine interne, hôpital Bichat-Claude-Bernard, Paris, France
| | - T Sené
- Service de médecine interne-rhumatologie, hôpital de la Croix-Saint-Simon, 125, rue d'Avron, 75020 Paris, France
| | - J-M Ziza
- Service de médecine interne-rhumatologie, hôpital de la Croix-Saint-Simon, 125, rue d'Avron, 75020 Paris, France
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