title: The use of heparin bonded shunts for perfusion of the renal artery during resection of complex abdominal aortic aneurysms.
abstract: During resection of certain complicated aortic abdominal aneurysms, the circulation of the renal artery may require separate perfusion. To achieve this in a simplified manner, a heparin bonded shunt has been used for continuous perfusion of the kidney. This has been used in patients with a horseshoe kidney undergoing aortic aneurysmectomy; for intraoperative perfusion of a previously inserted saphenous vein to renal artery graft for renovascular hypertension and in simultaneous correction of an aortic aneurysm and insertion of a renal artery graft for hypertension. In each situation, the technique worked well with minimal heparinization and excellent results.
mesh_terms: D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D006977:Hypertension, Renal / Q000601:surgery; D007668:Kidney / Q000002:abnormalities / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D010477:Perfusion / Q000379:methods; D012078:Renal Artery Obstruction / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation; D014182:Transplantation, Autologous
chemical_list: D006493:Heparin