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"textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 56-year-old woman who underwent 10 years earlier simultaneous liver–kidney transplantation due to polycystic disease (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) showed progressive transaminase elevation secondary to hepatotoxicity due to venlafaxine. The patient was diagnosed of liver rejection and retransplant was required. However, the patient also presented progressive renal failure worsened by liver failure (Cr 4.5<span class="elsevierStyleHsp" style=""></span>mg/dL), so a second simultaneous liver–kidney transplant was performed to prevent subsequent dialysis. Fifteen days later showed a prominent liver graft dysfunction and again was candidate for a new liver transplant. At this point, the second kidney graft was dysfunctional and considered as acute tubular necrosis by ultrasound. A third simultaneous liver–kidney transplant was considered and finally performed without remarkable incidences (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Renogram has been widely used in the follow-up of renal transplant function and has proved reliable to define the integrity of the kidney. The current case shows functional recovery of all three transplanted kidneys demonstrated by the renogram images (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C) and the correspondent generated curves for each renal transplant (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). To our knowledge, this is a rare case not previously reported which raises the question about the need of systematic kidney transplantation when a liver transplant is required.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>"
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"titulo" => "Recovery of native renal function in patients with hepatorenal syndrome following combined liver and kidney transplant with mercaptoacetyltriglycine-3 renogram: developing a methodology"
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