Systemic organ condition should be considered before implantation of left ventricular
assist device (LVAD) as a bridge to cardiac transplantation. It is, nevertheless,
difficult to evaluate the reversibility of organ function such as kidney and liver
which are directly affected by hemodynamics. We experienced a 44-year old woman with
autosomal dominant polycystic kidney disease who was also diagnosed with dilated cardiomyopathy.
She also had moderately impaired renal function (serum creatinine level: 1.8 mg/dL).
We calculated kidney prognosis before LVAD implantation, and estimated that there
would be more than ten years for functional terminus of kidney using total kidney
volume (433 mL/m). We further estimated the presence of prerenal factors affecting
her kidney condition, which would be recovered after LVAD implantation. Indeed, her
renal function was significantly improved after LVAD implantation (serum creatinine
level: 1.0 mg/dL). In this presentation, we will demonstrate pre-/post-LVAD-implantation
treatment strategy for a dilated cardiomyopathy patient concomitant with organic kidney
disease.
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