title: Renal Transplantation With Size-Matched End-to-End Venous Anastomosis in Children With Inferior Vena Cava Thrombosis.
abstract: Due to surgical technical difficulties, inferior vena cava (VCI) thrombosis is contraindicated for renal transplantation in pediatric patients. Of 287 pediatric renal transplantations, 3 patients (9, 12, and 19 kg, respectively) with end-stage renal failure, who had VCI thrombosis at the level of renal vein, underwent end-to-end anastomosis to the proximal aspect of VCI for venous drainage. The latest creatinine values of the patients, who were in the postoperative 56(th), 28(th), and 14(th) months, were 0.6, 0.4, and 0.3 mg/dL, respectively, with graft and patient survival rates of 100%. We think that end-to-end venous drainage into the proximal caval system is the most appropriate surgical approach in pediatric recipients, who have an open suprarenal VCI and a small intra-abdominal cavity, in the presence of an appropriate size-matched graft.
authors.affiliation: Akdeniz University Organ Transplantation Institute and Department of General Surgery, Antalya, Turkey. Electronic address: adinckan@akdeniz.edu.tr.
authors.forename: A
authors.initials: A
authors.lastname: Dinckan
authors.affiliation: Akdeniz University Organ Transplantation Institute and Department of General Surgery, Antalya, Turkey.
authors.forename: I
authors.initials: I
authors.lastname: Aliosmanoglu
authors.affiliation: Department of Pediatrics, Akdeniz University Medical Faculty, Antalya, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Akman
authors.affiliation: Department of Pediatrics, Akdeniz University Medical Faculty, Antalya, Turkey.
authors.forename: O
authors.initials: O
authors.lastname: Dursun
authors.affiliation: Akdeniz University Organ Transplantation Institute and Department of General Surgery, Antalya, Turkey.
authors.forename: H
authors.initials: H
authors.lastname: Erbis
authors.affiliation: Department of Anesthesiology and Reanimation, Akdeniz University Medical Faculty, Antalya, Turkey.
authors.forename: Z
authors.initials: Z
authors.lastname: Ertug
mesh_terms: D000714:Anastomosis, Surgical; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D012082:Renal Veins / Q000601:surgery*; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000150:complications*