title: Use of a temporary shunt for renal transplant protection during aortic aneurysm repair.
abstract: Broader indications for renal transplantation and improved allograft survival suggest that aortic aneurysms will be encountered more commonly in kidney transplant recipients. This report describes the use of a temporary heparin-bonded shunt placed from the proximal abdominal aorta to the femoral artery for perfusion of a renal allograft during simultaneous repair of an aortic aneurysm and correction of transplant renal artery stenosis. Renal function was satisfactorily maintained intraoperatively and has continued to be excellent during 2 1/2 years of follow-up. Methods of renal transplant protection during aortic reconstruction are reviewed, and principles of temporary shunting for allograft protection are proposed.
mesh_terms: D001012:Aorta, Abdominal / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery*; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007430:Intraoperative Care; D007668:Kidney / Q000098:blood supply*; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D012078:Renal Artery Obstruction / Q000601:surgery; D013997:Time Factors