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Improvement of severe heart failure with multivalvular dysfunction after kidney transplantation.

It is well documented that patients with renal failure suffer from some degree of cardiovascular illnesses.(1) In chronic uremia, cardiovascular disease manifests as concentric left ventricular hypertrophy, left ventricular dilatation, systolic dysfunction, or diastolic dysfunction.(2) These conditions create a predisposition for developing heart failure, arrhythmias, and sudden death,(3) which can be prevented with renal transplantation.(4,5) We report 2 patients with end-stage renal disease (ESRD) and severe systolic dysfunction with multivalvular dysfunction whose cardiac indexes improved considerably after kidney transplantation.