Successful renal transplantation after intimal dissection of the renal artery secondary to trauma.
BACKGROUND
Organ shortage increasingly forces surgeons to consider the use of marginal organs.


METHODS
The authors report a case in which a kidney with traumatic dissection of the renal artery and marginal perfusion by means of collaterals was successfully transplanted into a 63-year-old patient. A computed tomographic scan of the donor showed a marginally perfused left kidney, suggestive of renal artery dissection. After surgical reconstruction of the renal artery, transplantation followed the usual course.


RESULTS
The organ started clearing shortly after the operation and was homogeneously perfused in a postoperative scan. Creatinine and blood urea nitrogen levels dropped to normal values within a couple of days after the transplantation. During 1 year of follow-up, organ function was always excellent and retention parameters were within the normal range.


CONCLUSIONS
This case illustrates that marginally perfused kidneys can be successfully used for transplantation in certain cases.
Novotny
Alexander R
AR
Department of Surgery, Klinikum rechts der Isar, Technische Universität München, Ismaningerstrasse 22, 81675 Münich, Germany. anovotny@lycos.de
Brauer
Robert B
RB
Brandl
Richard
R
Gerauer
Klaus E
KE
Stangl
Manfred J
MJ
D000063:Accidents, Traffic; D000328:Adult; D000784:Aortic Dissection / Q000209:etiology; D005260:Female; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000293:injuries; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation; D008875:Middle Aged; D012077:Renal Artery; D014019:Tissue Donors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome