Noninvasive Cardiac Testing—A New Routine in Evaluation of Renal Transplant Candidates

Marina Moguilevitch, Ellise Delphin

Montefiore Medical Center, Albert Einstein College of Medicine, New York, USA.

DOI: 10.4236/crcm.2014.34055                

Abstract

We report a case of a young kidney transplant candidate presented with severe and clinically completely asymptomatic mitral stenosis. The bedside Echocardiogram was helpful to establish the diagnosis. The surgery had to be postponed and the patient was referred to a cardiologist for the further workup. This case report provides solid evidence that the renal transplant candidates are a very unique group of patients with specific disease development course. Their preoperative workup cannot be based on widely used guidelines from American College of Cardiology and American Heart Association that are relying on clinical symptoms and presentation of cardiac disease. All physicians who are involved in the care of these patients and making decisions about their candidacy for the transplantation should take into account severity and very often asymptomatic presentation of the cardiovascular complications of the end stage renal disease. This case provides a good example of the importance of the multispecialty involvement and coordination in perioperative care for prospective kidney transplant candidates.

Keywords

Kidney Transplant, Cardiac Workup, Critical Mitral Stenosis

Conflicts of Interest

The authors declare no conflicts of interest.

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