<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0026-1742</journal-id>
<journal-title><![CDATA[Revista de la Facultad de Medicina (México)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Fac. Med. (Méx.)]]></abbrev-journal-title>
<issn>0026-1742</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0026-17422015000500013</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trasplante de corazón y riñón en un paciente de 24 años]]></article-title>
<article-title xml:lang="en"><![CDATA[Heart and kidney transplant on a 24-year-old man]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rosas Téllez]]></surname>
<given-names><![CDATA[César Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dosta Herrera]]></surname>
<given-names><![CDATA[Juan José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lozada Rosete]]></surname>
<given-names><![CDATA[Karla Guadalupe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez Leandro]]></surname>
<given-names><![CDATA[Isis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidad Médica de Alta Especialidad  ]]></institution>
<addr-line><![CDATA[ México, DF.]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidad Médica de Alta Especialidad  ]]></institution>
<addr-line><![CDATA[ México, DF.]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Unidad Médica de Alta Especialidad  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2015</year>
</pub-date>
<volume>58</volume>
<numero>5</numero>
<fpage>13</fpage>
<lpage>22</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0026-17422015000500013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0026-17422015000500013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0026-17422015000500013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  Los enfermos potenciales de trasplante cardiaco son, en muchos casos, portadores de falla renal moderada o severa que se ve agravada en el transcurso del trasplante de corazón, lo que puede arruinar los buenos resultados que en general se obtienen con el trasplante cardiaco.  Objetivo:  Dar a conocer que en la Unidad Médica de Alta Especialidad (UMAE) del Hospital General &#8220;Dr. Gaudencio González Garza&#8221;, del Centro Médico Nacional (CMN), &#8220;La Raza&#8221; se realizan trasplantes de corazón y riñón.  Presentación del caso:  Paciente varón de 24 años de edad que presenta insuficiencia renal crónica (IRC) idiopática de 5 años de evolución, en tratamiento con diálisis peritoneal que inicia protocolo de estudio para trasplante renal, durante el que se diagnostica insuficiencia cardiaca secundaria a miocardiopatía dilatada por cateterismo y ecocardiografía transtorácica (ECCOT), motivo por el que se decide realizar trasplante cardiaco y posterior trasplante renal del mismo donador.  Discusión:  El fallo cardíaco refractario ha sido considerado durante mucho tiempo como una contraindicación para el trasplante renal y viceversa. Los avances en las técnicas de conservación de órganos, técnicas anestésico-quirúrgicas, tratamiento inmunosupresor y cuidados postoperatorios han permitido que los pacientes que requieran de un segundo órgano sean trasplantados.  Conclusión:  Este es el caso de un hombre de 24 años de edad con Insuficiencia Renal Crónica Terminal y una Miocardiopatía dilatada, que se sometió a Trasplante de Corazón y 18 horas después Trasplante Renal en la UMAE, Hospital General CMN &#8220;La Raza&#8221; en Mayo de 2014, recibió terapia inmunosupresora. Ambos injertos están funcionando adecuadamente y no se han producido episodios de rechazo agudo; además de brindarle una mejor calidad de vida. El trasplante de órganos sólidos es la modalidad terapéutica actual de elección para la mayoría de los pacientes con enfermedades terminales del corazón y el riñón.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  The potential heart transplant patients are, in many cases, carriers of moderate or severe renal failure that worsens during a heart transplant; this event might ruin the beneficial results generally obtained with heart transplantation.  Objective:  To communicate that heart and kidney transplants are being performed in the Medical Unit of High Specialty (UMAE), General Hospital &#8220;Dr. Gaudencio González Garza&#8221; National Medical Center (NMC), &#8220;La Raza&#8221;.  Case report:  A twenty-four-year-old male patient with chronic Idiopathic renal failure (CRF) with an evolution of 5 years, treated with peritoneal dialysis began a study protocol for renal transplantation during which heart failure secondary to dilated cardiomyopathy was diagnosed by catheterization and transthoracic echocardiography (ECCOT). Therefore, it was decided to perform a heart transplant and a subsequent same donor renal transplant.  Discussion:  The refractory heart failure has been long regarded as a contraindication for kidney transplantation and vice versa. Advances in organ preservation, anesthetic and surgical techniques, immunosuppressive treatment and postoperative care have facilitated transplants for patients needing a second organ.  Conclusión:  This is a case report from a 24 year old man with Chronic Renal Failure and dilated cardiomyopathy who underwent a heart transplant and 18 hours later Renal Transplantation with immunosuppressive therapy; the procedures were performed in the UMAE, Hospital General CMN &#8220;La Raza&#8221; in May 2011, both grafts were properly functioning and no episodes of acute rejection have been reported; the patient&#8217;s life quality greatly improved. The solid organ transplantation is the current treatment modality of choice for most patients with terminal heart disease and kidney.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Trasplante de corazón]]></kwd>
<kwd lng="es"><![CDATA[trasplante de riñón]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia cardiaca e insuficiencia renal]]></kwd>
<kwd lng="en"><![CDATA[Heart transplant]]></kwd>
<kwd lng="en"><![CDATA[kidney transplant]]></kwd>
<kwd lng="en"><![CDATA[heart and renal failure]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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