title: Simultaneous orthotopic liver and kidney transplant with repair of abdominal aortic aneurysm: operative timing.
abstract: In the case of coexisting abdominal aortic aneurysm (AAA) and liver/renal failure, the controversial issue is the timing of the AAA repair and the transplantation of the affected organs. The question is whether to repair the AAA first and perform the double transplantation at a later time, or to perform all three procedures in the same operative session. This patient was affected by hepatic/renal failure and had also developed AAA. We describe the operative strategies utilized to perform the cadaver donor and recipient operations in this setting. In our patient, a combined liver/kidney transplantation with simultaneous aneurysm repair using arterial allografts was successfully performed. In a patient affected by end-stage liver, kidney, and aneurysmatic disease, a simultaneous liver/kidney transplant and AAA repair may represent the safest and most efficient treatment solution.
authors.affiliation: Department of Surgery, Division of Transplantation, University of Illinois at Chicago, Chicago, USA.
authors.forename: Giuliano
authors.initials: G
authors.lastname: Testa
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Panaro
authors.forename: Diego
authors.initials: D
authors.lastname: Bogetti
authors.forename: Tomasz
authors.initials: T
authors.lastname: Jarzembowski
authors.forename: James
authors.initials: J
authors.lastname: Schuler
authors.forename: Henry
authors.initials: H
authors.lastname: Baraniewski
authors.forename: Enrico
authors.initials: E
authors.lastname: Benedetti
mesh_terms: D000328:Adult; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D016031:Liver Transplantation; D014057:Tomography, X-Ray Computed