Circulatory arrest to protect transplant kidney in a patient with chronic type III dissection.
With broader indications for renal transplantation and improved allograft survival, it is anticipated that the problem of aortic disease in the post-transplant patient will be encountered with increasing frequency. We report a technique of protecting the transplant kidney from ischemic damage during distal aortic surgery. A 30-year-old renal transplant patient who had undergone an operation for ruptured chronic type III dissection 3 years previously underwent abdominal aortic aneurysm repair under hypothermic circulatory arrest. The patient recovered uneventfully and is presently doing well 1 year after the operation. Hypothermic circulatory arrest could be used in selected cases as a useful alternative for transplant kidney protection.
Yağdi
T
T
Department of Cardiovascular Surgery, Ege University Medical Faculty, 35100, Bornova, Izmir, Turkey. tyagdi@med.ege.edu.tr
Büket
S
S
Tokat
Y
Y
Posacioglu
H
H
Aşkar
F
F
Akar
F
F
D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D001019:Aortic Rupture / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D002908:Chronic Disease; D006324:Heart Arrest, Induced; D006801:Humans; D007035:Hypothermia / Q000209:etiology; D007511:Ischemia / Q000209:etiology / Q000517:prevention & control; D007668:Kidney / Q000098:blood supply*; D016030:Kidney Transplantation; D008297:Male