• N. Engl. J. Med. · Nov 1973

    Recovery from "hepatorenal syndrome" after orthotopic liver transplantation.

    • S Iwatsuki, M M Popovtzer, J L Corman, M Ishikawa, C W Putnam, F H Katz, and T E Starzl.
    • N. Engl. J. Med. 1973 Nov 29; 289 (22): 115511591155-9.

    AbstractThree patients with progressive renal failure and advanced hepatic insufficiency due to cirrhosis of the liver underwent orthotopic liver transplantation. All three patients had immediate improvement in hepatic function and within two weeks after liver replacement regained nearly normal kidney function. However, the renal recovery was delayed in each case, and its course was not uniform. Plasma renin activity was high, and renin substrate was low before transplantation in one case in which these measurements were obtained; both returned to normal soon after liver replacement.

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