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NDT Plus Advance Access originally published online on July 16, 2009
NDT Plus 2009 2(5):398-400; doi:10.1093/ndtplus/sfp089
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© The Author [2009]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

A case of successful kidney transplantation after an extremely long-term maintenance haemodialysis of 38 years

Masahiko Okamoto1, Tomoyuki Suzuki2, Shuji Nobori2, Hidetaka Ushigome2 and Norio Yoshimura1,2

1 Department of Organ Interaction Research Medicine
2 Department of Transplantation and Regenerative Surgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan

Correspondence: Correspondence and offprint requests to: Masahiko Okamoto; E-mail: amoto{at}koto.kpu-m.ac.jp


  Abstract

We describe herein a case of kidney transplantation after extremely long-term haemodialysis. A 66-year-old male received a kidney transplant from a deceased donor after maintenance haemodialysis for 38 years and 2 months. In spite of long-term haemodialysis, he showed minimal calcification of the iliac vessels, and transplantation was carried out successfully. Other than some difficulties in vesical rehabilitation, his postoperative course was favourable and he was finally discharged from the hospital on the 84th postoperative day. On a review of the literature, this case might represent the longest period of haemodialysis ever prior to kidney transplantation in the world.

Key Words: haemodialysis • kidney transplantation • long term • vesical atrophy

Received for publication June 20, 2009. Accepted for publication June 24, 2009.


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