Use of a pulsatile perfusion pump for renal autotransplantation in a patient undergoing thoracoabdominal bypass for malignant hypertension secondary to Takayasu arteritis.
Aortorenal bypass is an effective and durable therapy for autoimmune-induced renovascular hypertension. However, when technical and patient factors preclude this option, renal autotransplantation can be a viable alternative. We present a 32-year-old woman who underwent aortobi-iliac bypass with left renal autotransplantation for malignant hypertension secondary to Takayasu arteritis. This is the first description of using machine preservation with a continuous pulsatile perfusion pump to maintain renal preservation before reimplantation. Our method proved safe to the patient and allowed for protection of the organ from prolonged warm ischemia and intraoperative hypoperfusion during a complex reconstruction.
Division of Vascular Surgery, Department of Surgery, School of Medicine, University of Utah, Salt Lake City, UT. Electronic address: bjoern.suckow@hsc.utah.edu.
Bjoern D
BD
Suckow
Division of Vascular Surgery, Department of Surgery, School of Medicine, University of Utah, Salt Lake City, UT.
Daniel
D
Ihnat
Division of Vascular Surgery, Department of Surgery, School of Medicine, University of Utah, Salt Lake City, UT.
Christopher
C
Ward
Section of Transplantation, Department of Surgery, School of Medicine, University of Utah, Salt Lake City, UT.
Robin D
RD
Kim
Section of Transplantation, Department of Surgery, School of Medicine, University of Utah, Salt Lake City, UT.
Jeffrey
J
Campsen
D000328:Adult; D000792:Angiography; D005112:Extracorporeal Circulation / Q000295:instrumentation*; D005260:Female; D006801:Humans; D006974:Hypertension, Malignant / Q000209:etiology* / Q000601:surgery*; D006978:Hypertension, Renovascular / Q000209:etiology* / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods*; D009392:Nephrectomy; D011673:Pulsatile Flow; D013625:Takayasu Arteritis / Q000150:complications*; D014182:Transplantation, Autologous