Renal transplant dysfunction due to severe aorto-iliac atherosclerosis in the presence of patent renal transplant artery.
We report a case of progressive deterioration in renal function and decreased renal graft perfusion induced by extensive aorto-iliac atherosclerotic lesions proximal to a patent renal graft artery. Significant improvement in kidney graft function followed left axillo-femoral bypass graft surgery, which to the best of our knowledge, has never been performed previously for permanent maintenance of renal transplant perfusion.
Tovbin
D
D
Department of Nephrology, Soroka Medical Center, Ben Gurion University of the Negev, Beer-Sheva, Israel. dtovbin@bgumail.bgu.ac.il
Feldman
L
L
Basok
A
A
Shnaider
A
A
Hertzanu
Y
Y
Lantsberg
S
S
Mostoslavsky
M
M
Zlotnik
M
M
D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis; D001161:Arteriosclerosis / Q000150:complications* / Q000175:diagnosis; D001706:Biopsy; D006801:Humans; D007083:Iliac Artery; D007668:Kidney / Q000473:pathology; D016030:Kidney Transplantation / Q000473:pathology / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012077:Renal Artery / Q000502:physiology* / Q000637:transplantation*; D012086:Reoperation / Q000379:methods; D013997:Time Factors; D014654:Vascular Patency