Results
Case 1
Recipient 1A was a 65-year-old man. An uncomplicated
postoperative course was reported, normal
function of the graft started immediately, and his creatinine
level was 1.59 mg/dL at follow-up 3 months
after the surgery.
Recipient 1B was a 59-year-old man. The transplant
procedure was complicated by swelling of the
graft caused by repeated thrombosis at the site of the
venous anastomosis during surgery, resulting in
repeated manual removal of thrombus and application
of low-molecular-weight heparin. Within 10 days after
transplant, urosepsis developed with blood and urine
cultures positive for Klebsiella pneumoniae extendedspectrum
β-lactamases. Because of worsening graft
function, a CT-guided biopsy was done 1 month after
the surgery and showed signs of acute tubular necrosis
and borderline signs of acute rejection. The dose of
immunosuppressive drugs was increased, but repeated
urosepsis and viral pneumonia occurred. Vesicoureteral
reflux and subsequent purulent pyelonephritis verified
by biopsy developed 3 months after transplant.
Delineated complications ultimately led to the loss of
graft function and resulted in graftectomy 4 months
after transplant.