腎臟移植是目前對於末期腎病變病人最好的治療方法，尤其是活體移植有更好的預後。腎移植後病人的心血管問題仍然是最重要的內科問題。我們報告一例六十一歲第二型糖尿病的病人接受活體腎移植，在移植後的第一天，因為急性心肌梗塞而發生急性肺水腫。心導管檢查為阻塞三條冠狀動脈，之後發生心因性休克而立即接受心血管外科手術。後續的治療在移植的第五十三天，病人的腎功能開始恢復，而後可以順利出院。幸運的是，她目前的腎臟功能（肌酐酸）仍然維持在0.9 mg/dL。

A 61-year-old woman with type 2 diabetes mellitus was admitted for living donor renal transplantation.Sudden onset of acute pulmonary edema developed one day post-transplant and was proved to be due to acute myocardial infarction. Urgent coronary arterial bypass grafting was performed immediately due to failure of percutaneous coronary intervention and cardiogenic shock. This was followed by a prolonged
period of delayed graft function (53 days). Fortunately, she had full recovery of graft function with a discharged serum creatinine of 0.8 mg/dL.