Renal transplantation for the hemodialysis patient with axillofemoral bypass.
BACKGROUND
Axillofemoral bypass grafts are used in the treatment of aortoiliac occlusive disease caused by atherosclerosis. There have been no previous reports on renal transplantation used as treatment for chronic renal failure after an axillofemoral bypass graft being placed because of atypical coarctation of the aorta.


METHODS
The patient was a 47-year-old woman who had received regular hemodialysis for 15 years. Axillofemoral bypass surgery was performed because of atypical coarctation of the aorta in October 1999. Three years after surgery, she underwent renal transplantation.


RESULTS
Renal transplantation was successful, and helical computed tomography demonstrated patent graft bypass and good nephrographic effects of the renal artery.


CONCLUSIONS
Even though dialysis patients with atypical coarctation of the aorta are treated with an axillofemoral bypass, it is possible for them to undergo regular renal transplantation, if part of the external or internal iliac artery is intact.
Nakatani
Tatsuya
T
Department of Urology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan.
Uchida
Junji
J
Iwai
Tomoaki
T
Kuratsukuri
Katsuyuki
K
Matsumura
Kentaro
K
Takahara
Yuki
Y
Naganuma
Toshihide
T
Sugimura
Kazunobu
K
D001017:Aortic Coarctation / Q000601:surgery; D001366:Axillary Artery / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology* / Q000628:therapy; D016030:Kidney Transplantation; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D006435:Renal Dialysis; D014656:Vascular Surgical Procedures / Q000009:adverse effects*
D011138:Polytetrafluoroethylene