title: Transplantation of a unilateral fused kidney with inferior ectopia: revascularization utilizing donor aorta and vena cava.
abstract: We present a case of kidney transplantation utilizing a fused kidney with inferior ectopia. The kidney had three arteries, five veins and two ureters and was procured en bloc with the donor vena cava and aorta. The caudal end of the donor vena cava was anastomosed to the recipient's external iliac vein. The right common iliac artery of the donor, in continuity with the donor aorta, was anastomosed to the recipient's external iliac artery. The two ureters were implanted separately. The patientwas discharged home with a serum creatinine of 0.9 mg/dl. Through innovative techniques, kidneys that may not have been transplantable in the past can now be used with excellent results. This is the first known report of transplantation using a unilateral fused kidney with inferior ectopia.
authors.affiliation: Department of Surgery, Hospital of Saint Raphael, New Haven, USA.
authors.forename: Peter
authors.initials: P
authors.lastname: Ojo
authors.forename: K Vinay
authors.initials: KV
authors.lastname: Ranga
authors.forename: Matthew
authors.initials: M
authors.lastname: Brown
authors.forename: David
authors.initials: D
authors.lastname: Hull
authors.forename: Kevin P
authors.initials: KP
authors.lastname: Charpentier
mesh_terms: D000328:Adult; D001012:Aorta, Abdominal / Q000601:surgery*; D003404:Creatinine / Q000097:blood; D004231:Diuresis; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D014019:Tissue Donors; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000601:surgery*
chemical_list: D003404:Creatinine