Renal Transplantation in Advanced Cardiac Failure Patients

Abstract

E ND-stage renal disease (ESRD) with left ventricular dysfunction is no longer contraindicated for renal transplantation (RTX) because of the reversibility of car- diomyopathy after transplantation, but in cases of advanced heart failure with low ejection fraction (EF) it is still difficult to make a decision for RTX.‘ ,* Recent advances in nonin- vasive diagnostic tools such as echocardiography make it easy and convenient to evaluate the cardiac status. Because there is no definite guideline to decide the RTX in ad- vanced cardiac failure patients, we reviewed our own renal transplant patients and analyzed these data to derive a guideline about determining RTX.