Cyclosporine nephropathy after heart and heart-lung transplantation.

J Goldstein, Y Thoua, F Wellens, J L Leclerc, J L Vanherweghem, P Vereerstraeten, G Primo, C Toussaint
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Abstract

Cyclosporine nephrotoxicity after heart transplantation can lead to acute renal failure requiring haemodialysis. In four long-term heart-transplant survivors, cyclosporine nephropathy was characterised by extensive fibrosis, with uraemia, hypertension and/or anaemia. In contrast, the long-term survivor of heart-lung transplantation who had received her graft for accelerated respiratory failure, did not develop chronic renal disease. Thus, chronically reduced renal perfusion before heart transplantation may play a critical role in the development of chronic cyclosporine nephropathy.

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心肺移植术后环孢素肾病。
心脏移植后的环孢素肾毒性可导致需要血液透析的急性肾功能衰竭。在4例长期心脏移植幸存者中,环孢素肾病的特征是广泛纤维化,伴有尿毒症、高血压和/或贫血。相比之下,因加速呼吸衰竭而接受心肺移植的长期幸存者没有发展成慢性肾脏疾病。因此,心脏移植前慢性肾灌注减少可能在慢性环孢素肾病的发展中起关键作用。
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