Renal artery aneurysm in robotic donor nephrectomy: a case report.
OBJECTIVE
With the current disparity between donor organ availability and recipient need, creative techniques help optimize the use of available organs. We present a case of a woman, who was worked-up as a kidney donor, who was incidentally found to have a saccular aneurysm on her renal artery. The patient was asymptomatic, normotensive, and had normal renal function.


METHODS
We performed a laparoscopic robotic donor nephrectomy, repaired the aneurysm on the back table, and transplanted the organ into the recipient.


RESULTS
The donor underwent a successful robotic nephrectomy, successfully eradicating any risk of aneurysmal complications; the recipient received an anatomically normal organ with excellent function.


CONCLUSIONS
An altruistic act by the donor identified a potentially fatal lesion, which was not only remedied, but the intended donation proceeded when a creative approach was used.
Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA.
Ivo
I
Tzvetanov
Mario
M
Spaggiari
Hoonbae
H
Jeon
Raquel
R
Garcia-Roca
Maria
M
Osipova
Jose
J
Oberholzer
Oberholzer
O
Jose
Enrico
E
Benedetti
Benedetti
B
Enrico
D000328:Adult; D000783:Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery*; D000792:Angiography; D005260:Female; D006801:Humans; D033162:Incidental Findings; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation; D010535:Laparoscopy / Q000379:methods*; D019520:Living Donors; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D012077:Renal Artery / Q000000981:diagnostic imaging*; D012371:Robotics; D016896:Treatment Outcome