Stent graft of abdominal aortic aneurysm after renal transplantation.
The necessity of operative treatment of abdominal aortic aneurysm (AAA) is reported in an increasing number of patients after renal transplantation as a result of improved renal graft long-term survival. In these patients, aortic surgery however, places the allograft at risk for ischemic damage. We present a first case of AAA stenting in a kidney-grafted patient. This procedure helped us avoid ischemia of the graft, which showed excellent function pre- and postoperatively. The patient had an uneventful recovery with no evidence of renal dysfunction and was discharged in good condition 7 days after stenting. This case demonstrates a useful alternative for the repair of AAA in kidney-grafted patients.
Wolters
Heiner H
HH
Department of General Surgery, University Hospital Münster, Münster, Germany. wolterh@uni-muenster.de
Reimer
Peter
P
Senninger
Norbert
N
Pelster
Friedrich W
FW
Dietl
Karl-Heinz
KH
D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006085:Graft Survival; D006801:Humans; D007668:Kidney / Q000098:blood supply; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed