Transplantation of a cadaveric polycystic kidney in a patient with autosomal dominant polycystic kidney disease: Long-term outcome

Charles Powell, S. Tata, M. V. Govani, G. W. Chien, M. A. Orvieto, A. L. Shalhav

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Introduction Kidneys from donors affected by autosomal dominant polycystic kidney disease (ADPKD) were considered unusable for transplantation. To the best of our knowledge, seven cases worldwide have now been described in the English literature since 1967 suggesting such donor organs may be acceptable under certain conditions. Most of these reports have only short-term follow-up. Methods We provide a review of these patients and share our experience with an ADPKD patient who had a cadaveric ADPKD transplant and has been closely followed for 10 years. Results During the 10-year period, the patient had three transplant biopsies without complication. This creatinine is currently 1.2 mg/dL. Serial computed tomography imaging indicated that the cystic disease slowly progressed during this time period. He eventually developed intractable pain in his native left kidney and underwent a laparoscopic nephrectomy. Conclusions Normal functioning cadaveric kidneys that show early signs of polycystic kidney disease should be considered acceptable for renal donation. These organs provide the recipient a safe, reasonable period of graft survival and have not been shown to cause adverse effects.

Original languageEnglish (US)
Pages (from-to)1288-1292
Number of pages5
JournalTransplantation Proceedings
Volume36
Issue number5
DOIs
StatePublished - Jun 2004
Externally publishedYes

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Autosomal Dominant Polycystic Kidney
Polycystic Kidney Diseases
Transplantation
Kidney
Tissue Donors
Literature
Transplants
Intractable Pain
Graft Survival
Nephrectomy
Creatinine
Tomography
Biopsy

ASJC Scopus subject areas

  • Surgery
  • Transplantation

Cite this

Transplantation of a cadaveric polycystic kidney in a patient with autosomal dominant polycystic kidney disease : Long-term outcome. / Powell, Charles; Tata, S.; Govani, M. V.; Chien, G. W.; Orvieto, M. A.; Shalhav, A. L.

In: Transplantation Proceedings, Vol. 36, No. 5, 06.2004, p. 1288-1292.

Research output: Contribution to journalArticle

Powell, Charles ; Tata, S. ; Govani, M. V. ; Chien, G. W. ; Orvieto, M. A. ; Shalhav, A. L. / Transplantation of a cadaveric polycystic kidney in a patient with autosomal dominant polycystic kidney disease : Long-term outcome. In: Transplantation Proceedings. 2004 ; Vol. 36, No. 5. pp. 1288-1292.
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