Abdominal aortic aneurysm repair in patient with a renal allograft: a case report.
Renal transplant recipients requiring aortic reconstruction due to abdominal aortic aneurysm (AAA) pose a unique clinical problem. The concern during surgery is causing ischemic injury to the renal allograft. A variety of strategies for protection of the renal allograft during AAA intervention have been described including a temporary shunt, cold renal perfusion, extracorporeal bypass, general hypothermia, and endovascular stent-grafting. In addition, some investigators have reported no remarkable complications of the renal allograft without any specific measures. We treated a case of AAA in a patient with a renal allograft using a temporary aortofemoral shunt with good result. Since this technique is safe and effective, it should be considered in similar patients with AAA and previously placed renal allografts.
Kim
Hyung-Kee
HK
Division of Transplantation and Vascular Surgery, Department of Surgery, Kyungpook National University Hospital, Daegu, Korea.
Ryuk
Jong-Pil
JP
Choi
Hyang Hee
HH
Kwon
Sang-Hwy
SH
Huh
Seung
S
D000328:Adult; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D006085:Graft Survival; D006801:Humans; D007668:Kidney / Q000098:blood supply; D016030:Kidney Transplantation; D008297:Male; D015427:Reperfusion Injury / Q000517:prevention & control; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous