Cardiology, Do I need Heart Valve Surgery before Kidney Transplant

Do I need Heart Valve Surgery before Kidney Transplant

Author	Message
JAde #1 / 5	Do I need Heart Valve Surgery before Kidney Transplant I have been on Dialysis for past 6 months. Over this period, my heart condition has worsened. I am scheduled for Kidney Transplant soon. I had small stent surgery 3 months back. My 2-D echo Cardiogram report seems concerning: Aortic valve: Sclerosis Opening 1.48 closure line central. Mid-systolic notching LV Function : EF flow is 24.2% FS 11.4% Overall LV ejection fraction = 25% Normal RV size N function All other valves are normal structurally. No Vegitation, no pericardiol diffusion. IAS/IVS are intact. No shunt across the great vessels. Can I undergo Kidney Transplant with this Cardic condition? I am 64 and was in very good health before starting dialysis. Any experience/feedback will be extremely valuable. Ash
Wed, 09 Nov 2005 10:58:37 GMT

Richard Cavel #2 / 5	Do I need Heart Valve Surgery before Kidney Transplant Quote: > Can I undergo Kidney Transplant with this Cardic condition? I am 64 > and was in very good health before starting dialysis. I doubt it. It sounds like you have severe kidney and heart failure. You haven't described any of your symptoms nor clinical examination findings, nor most of your investigation results. You can undergo kidney transplantation with a heart that bad, though undoubtedly the risks are higher. The question for you is your long-term longevity. That is, whether the kidney transplant will be of any benefit in someone with severe hart disease.
Wed, 09 Nov 2005 14:24:36 GMT

Dr. Andrew B. Chung, MD/Ph #3 / 5	Do I need Heart Valve Surgery before Kidney Transplant Quote: > I have been on Dialysis for past 6 months. Over this period, my heart > condition has worsened. I am scheduled for Kidney Transplant soon. > I had small stent surgery 3 months back. > My 2-D echo Cardiogram report seems concerning: > Aortic valve: Sclerosis > Opening 1.48 > closure line central. > Mid-systolic notching > LV Function : EF flow is 24.2% > FS 11.4% > Overall LV ejection fraction = 25% > Normal RV size N function > All other valves are normal structurally. > No Vegitation, no pericardiol diffusion. > IAS/IVS are intact. > No shunt across the great vessels. > Can I undergo Kidney Transplant with this Cardic condition? I am 64 > and was in very good health before starting dialysis. Any > experience/feedback will be extremely valuable. Your doctors will likely need a Stress test to answer your question. -- Dr. Andrew B. Chung, MD/PhD Board-Certified Atlanta Cardiologist http://www.heartmdphd.com (please see web site for latest active email address)
Wed, 09 Nov 2005 21:18:03 GMT

flor.. #4 / 5	Do I need Heart Valve Surgery before Kidney Transplant Quote: >I have been on Dialysis for past 6 months. Over this period, my heart >condition has worsened. I am scheduled for Kidney Transplant soon. >I had small stent surgery 3 months back. >My 2-D echo Cardiogram report seems concerning: >Aortic valve: Sclerosis >Opening 1.48 >closure line central. >Mid-systolic notching >LV Function : EF flow is 24.2% >FS 11.4% >Overall LV ejection fraction = 25% >Normal RV size N function >All other valves are normal structurally. >No Vegitation, no pericardiol diffusion. >IAS/IVS are intact. >No shunt across the great vessels. >Can I undergo Kidney Transplant with this Cardic condition? I am 64 >and was in very good health before starting dialysis. Any >experience/feedback will be extremely valuable. >Ash Hello Ash, Unlike the two previous posters I do not understand the details you list regarding your echocardiogram but you say that you are actually scheduled for your kidney transplant soon.This seems to suggest that your doctors are happy to go ahead despite your heart condition. Our two cases may not be comparable but I will tell you about my experience in the hope that it gives you some encouragement. I am 66 and had a TOE - like an echo but done via the oesophagus to get a better picture of the heart. It showed significant mitral stenosis/mild regurgutation, moderate aortic and tri-cuspid regurgitation and estd.pulmonary artery pressure of 40-50mmHG. I was scheduled for replacement MV but shortly afterwards recd an overdose of warfarin. This error revealed bowel cancer. A eminent surgeon in this field agreed to operate but insisted my heart was done first. The heart surgeon disagreed. Upshot was that cancer was removed first, one 5 hr op and a 4 hr op 3 months later to close the stoma (it was an early stage one) and heart surgery was done 15 months later last Nov. I may need the aortic valve doing some time in the future and the heart rate/rhythm has taken some time to settle but its so important to be optimistic. The body can tolerate a lot more than we can imagine. Hope you get your new kidney and all goes well. Diana
Thu, 10 Nov 2005 01:19:20 GMT

Beatty170 #5 / 5	Do I need Heart Valve Surgery before Kidney Transplant They wanted me to get a stent and pacemaker prior to the transplant because of the risk of infection with the immunosuppressive meds. Sounded good to me and I had it done. Quote: > I have been on Dialysis for past 6 months. Over this period, my heart > condition has worsened. I am scheduled for Kidney Transplant soon. > I had small stent surgery 3 months back. > My 2-D echo Cardiogram report seems concerning: > Aortic valve: Sclerosis > Opening 1.48 > closure line central. > Mid-systolic notching > LV Function : EF flow is 24.2% > FS 11.4% > Overall LV ejection fraction = 25% > Normal RV size N function > All other valves are normal structurally. > No Vegitation, no pericardiol diffusion. > IAS/IVS are intact. > No shunt across the great vessels. > Can I undergo Kidney Transplant with this Cardic condition? I am 64 > and was in very good health before starting dialysis. Any > experience/feedback will be extremely valuable. > Ash
Fri, 16 Dec 2005 09:34:11 GMT

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