With the availability of newer and more potent immunosuppressive agents, post-transplant survival has markedly improved. However, these agents, together with the rising age of transplant recipients, have been associated with a rise in the incidence of new-onset diabetes after transplantation (NODAT). Besides the traditional risk factors for diabetes mellitus, such as age, obesity, hypertension,...

Percutaneous transluminal angioplasty has been applied to the treatment of transplant renal artery stenosis in 3 patients, 2 with severe hypertension resistant to medical therapy, and one with graft dysfunction related to the presence of the stenosis in the early post-transplant period. The clinical courses of the patients before and after angioplasty are illustrated and the usefulness of the t...

Splenic artery aneurysms occur infrequently in the normal population, but presents with increased incidence among cirrhotic patients with portal hypertension. The optimal management of splenic artery aneurysms and the prevention of spontaneous rupture in these patients present a therapeutic challenge for transplant physicians and surgeons. We discuss a case of SAA rupture in a liver transplant ...

Heart transplant recipients develop systemic hypertension (SH), which is generally difficult to clinically control, requiring the use of several antihypertensive drugs. The pathophysiology involves the action of cyclosporine through the following mechanisms: alterations in the renin-angiotensin-aldosterone and sympathetic system, in prostaglandin and thromboxane A2 levels, in plasmatic endothel...

Hypertension is a common complication of kidney transplantation with the prevalence of 80%. Studies in adults have shown a high prevalence of hypertension (HTN) in the first three months of transplantation while this rate is reduced to 50- 60% at the end of the first year. HTN remains as a major risk factor for cardiovascular diseases, lower graft survival rates and poor function of transplante...

Pulmonary hypertension has been associated with poor outcome after liver transplantation. We assessed the diagnostic accuracy of Doppler echocardiography in detecting significant pulmonary hypertension. Seventy-four potential liver transplant candidates underwent Doppler echocardiography in which the systolic right ventricular pressure (RVsys) was used to estimate the systolic pulmonary artery ...

Invasive fungal infections due to rare fungi are rising with the increase in number of immunocompromised patients. We report a case of post liver transplant wherein Verticillium was isolated from intercostal drainage fluid. The patient was a follow up case of cirrhosis with portal hypertension th and hepatic hydrothorax and was planned for liver transplant. Post transplant, the patient had feve...

Cardiovascular disease (CVD) is an important comorbidity of chronic kidney disease, and reducing cardiovascular events in this population is an important goal for the clinicians who care for chronic kidney disease patients. The high risk for CVD in transplant recipients is in part explained by the high prevalence of conventional CVD risk factors (e.g., diabetes, hypertension, and dyslipidemia) ...

Background and Purpose: Hospital readmission after kidney transplantation is a real challenge for both patients and healthcare systems. Assessment of the risk factors of readmission after kidney transplantation is vital and can reduce morbidity and cost in transplant recipients and donors. The aim of the current study was to determine the risk factors of hospital readmission in patients undergo...

Our objective was to highlight the results of comparative analysis of pediatric and adults living donor renal transplantation in a single center experience extended for more than 30 years. The study comprised of 1902 adults and 338 children aging 18 years or younger. Male sex was dominant among recipients of both groups in contrary to female sex that constituted for 75.9 % for adults and 63.6 %...