title: Renal Transplantation After Thoracic Endovascular Repair of Type B Aortic Dissection--A Case Report.
abstract: Because of the strong association between uremia and atherosclerosis, incidence of aortic aneurysms is increasing among renal failure patients awaiting renal transplantation (RT). Successful RTs have been performed in these patients after surgical repair of the aneurysms. Since Parodi et al introduced endovascular aortic aneurysm repair (EVAR) in patients with high risk for conventional surgery, a new era has begun. The 1st successful RT after EVAR was published in 2001. Herein we report the 1st successful RT after thoracic EVAR (TEVAR) reported to date. We performed RT in a 54-year-old man with end-stage renal failure due to diabetic nephropathy, who had undergone TEVAR for type B aortic dissection (TBAD) 6 months earlier. The postoperative period was uneventful and the patient was discharged from the hospital at postoperative day 6 with a serum creatinine of 0.9 mg/dL. At follow-up examination at postoperative 6 months, graft function was stable. Because of its advantages over open surgery, including low mortality and morbidity, TEVAR is becoming more common among renal failure patients with thoracic aortic aneurysms and TBAD. Our case shows that successful RT can be performed in renal failure patients who have undergone TEVAR.
authors.affiliation: Organ Transplantation Center, Goztepe Medical Park Hospital, Istanbul, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Eroğlu
authors.affiliation: Organ Transplantation Center, Goztepe Medical Park Hospital, Istanbul, Turkey. Electronic address: drturunc@hotmail.com.
authors.forename: V
authors.initials: V
authors.lastname: Turunç
authors.affiliation: Department of Cardiovascular Surgery, Goztepe Medical Park Hospital, Istanbul, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Şener
authors.affiliation: Department of General Surgery, Bahcesehir University, Istanbul, Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Tabandeh
authors.affiliation: Department of General Surgery, Bahcesehir University, Istanbul, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Oruğ
authors.affiliation: Department of Cardiology, Bahcesehir University, Istanbul, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Gürol
authors.affiliation: Department of Cardiology, Bahcesehir University, Istanbul, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Aydın
authors.affiliation: Organ Transplantation Center, Goztepe Medical Park Hospital, Istanbul, Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Güven
mesh_terms: D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome